Heinz A, Meyer W W, Hallwachs O
Urologe A. 1984 May;23(3):178-80.
Due to an advanced prostatic carcinoma 166 patients were given a massive dose of oestrogen over a period of 10 days (6 g Honvan i.v.). A retrospective comparison of a control group of 94 patients without prophylaxis against thrombosis and a control group of 36 patients having received Heparin-Dihydergot did not show a significant difference of cardiovascular complications. Therefore, further 36 patients received a thrombocyte aggregation inhibitor (Godamed) as prophylaxis against embolic thrombosis. At the same time lung perfusion scintigraphy (99m Tc-Microspheres) was made directly before and after oestrogen therapy. Clinically and lung scintigraphically there was no different thromboembolic incidence compared to the patients given a Heparin-Dihydergot prophylaxis.
由于患有晚期前列腺癌,166例患者在10天内接受了大剂量雌激素治疗(静脉注射6克己烯雌酚)。对94例未进行血栓预防的对照组患者和36例接受双氢麦角胺肝素治疗的对照组患者进行回顾性比较,结果显示心血管并发症无显著差异。因此,另外36例患者接受了血小板聚集抑制剂(戈达明)以预防栓塞性血栓形成。同时,在雌激素治疗前后直接进行了肺灌注闪烁扫描(99m锝微球)。与接受双氢麦角胺肝素预防治疗的患者相比,临床和肺闪烁扫描显示血栓栓塞发生率没有差异。