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右旋糖酐用于预防术后血栓栓塞(作者译)

[Dextran for the prophylaxis of postoperative thromboembolism (author's transl)].

作者信息

Rahmer H

出版信息

Langenbecks Arch Chir. 1977 Nov;345:365-9. doi: 10.1007/BF01305504.

DOI:10.1007/BF01305504
PMID:592990
Abstract

Dextran has a well-documented antithrombotic effect that is due to a reduction in platelet adhesions, increased lysability of thrombi, and improved blood flow. Anaphylactoid reactions may occur during the first 30--50 ccm of dextran infusion. They have an incidence of 1:80000 during anesthesia. The main advantage of dextran prophylaxis is the lack of bleeding complications. It is extremely effective in lowering the incidence of lethal pulmonary embolisms.

摘要

右旋糖酐具有充分记录的抗血栓形成作用,这归因于血小板黏附减少、血栓溶解性增加以及血流改善。在输注30 - 50立方厘米右旋糖酐期间可能发生类过敏反应。在麻醉期间其发生率为1:80000。右旋糖酐预防的主要优点是缺乏出血并发症。它在降低致死性肺栓塞的发生率方面极其有效。

相似文献

1
[Dextran for the prophylaxis of postoperative thromboembolism (author's transl)].右旋糖酐用于预防术后血栓栓塞(作者译)
Langenbecks Arch Chir. 1977 Nov;345:365-9. doi: 10.1007/BF01305504.
2
The antithrombotic efficacy of dextran.
Acta Chir Scand Suppl. 1988;543:26-30.
3
Dextran and the prevention of postoperative thromboembolic complications.
Surg Clin North Am. 1975 Jun;55(3):679-96. doi: 10.1016/s0039-6109(16)40642-0.
4
["Low-dose heparin" and other methods to prevent thrombo-embolism in gynaecological surgery (author's transl)].["低剂量肝素"及妇科手术中预防血栓栓塞的其他方法(作者译)]
Zentralbl Gynakol. 1980;102(21):1247-53.
5
[Thrombosis prophylaxis with low doses of dextran 60 (author's transl)].低剂量右旋糖酐60预防血栓形成(作者译)
MMW Munch Med Wochenschr. 1978 Feb 17;120(7):223-6.
6
Prevention of postoperative thromboembolism by dextran 70 or low-dose heparin.右旋糖酐70或低剂量肝素预防术后血栓栓塞
Obstet Gynecol. 1980 Apr;55(4):497-500.
7
Comparison of warfarin, low-molecular-weight dextran, aspirin, and subcutaneous heparin in prevention of venous thromboembolism following total hip replacement.华法林、低分子右旋糖酐、阿司匹林及皮下注射肝素预防全髋关节置换术后静脉血栓栓塞的比较
J Bone Joint Surg Am. 1974 Dec;56(8):1552-62.
8
[Postoperative prophylaxis of thromboembolism. Present position.(author's transl)].[血栓栓塞的术后预防。当前状况(作者译)]
Zentralbl Chir. 1976;101(10):577-85.
9
[Quantitative assessment of drug-induced prophylaxis of postoperative thromboembolism. Comparison of frequencies of deep vein thrombosis and pulmonary embolism using acetylsalicylic-acid, dextran, dihydroergotamine, low-dose heparin and the fixed combination of heparin and dihydroergotamine (author's transl)].
Med Klin. 1977 Oct 7;72(40):1624-38.
10
[Side effects of drug for thromboembolism prophylaxis. Results from the University Women's Clinic Freiburg/Br].[用于血栓栓塞预防药物的副作用。弗莱堡大学妇女诊所的研究结果/布伦]
Fortschr Med. 1979 Mar 15;97(10):471-4.

本文引用的文献

1
[Prevention of postoperative thromboembolism. Randomized, prospective study of the comparison of thromboembolism prevention using anticoagulants (Heparin-Marcumar) and dextran 60 (Macrodex)].[术后血栓栓塞的预防。使用抗凝剂(肝素 - 新双香豆素)和右旋糖酐60(低分子右旋糖酐)预防血栓栓塞的随机前瞻性比较研究]
Chirurg. 1973 Dec;44(12):563-9.
2
Heparin versus dextran in the prevention of deep-vein thrombosis. A multi-unit coctrolled trial.肝素与右旋糖酐预防深静脉血栓形成的多单位对照试验
Lancet. 1974 Jul 20;2(7873):118-20.
3
[Immunological studies on the adverse effects of dextran].
[右旋糖酐不良反应的免疫学研究]
Klin Anasthesiol Intensivther. 1975;9:48-57.
4
[Intra- and postoperative prevention of thrombosis].[血栓形成的术中及术后预防]
Klin Anasthesiol Intensivther. 1975;9:17-35.
5
[The value of dextran 70 in the prevention of thromboembolism in general surgery, orthopedics, urology and gynecology. A review of the literature].[右旋糖酐70在普外科、骨科、泌尿外科及妇科预防血栓栓塞中的价值。文献综述]
Schweiz Med Wochenschr. 1975 Dec 6;105(49):1637-49.
6
[Studies on the problem of adverse effects in the use of plasma substitutes].[关于血浆代用品使用中不良反应问题的研究]
Klin Anasthesiol Intensivther. 1975;9:58-72.
7
[Patho-mechanisms in the adverse reactions during administration of plasma expanders].[血浆扩容剂给药期间不良反应的病理机制]
Klin Anasthesiol Intensivther. 1975;9:36-47.
8
[New aspects of shock therapy with volume expanders (author's transl)].扩容剂休克疗法的新进展(作者译)
MMW Munch Med Wochenschr. 1976 Apr 30;118(18):553-8.
9
[Randomised study on histaminelike side-effects of 5 common plasmasubstitutes in orthopedic surgery (author's transl)].
Anaesthesist. 1975 Dec;24(12):507-16.