Räber G, Canzler E, Lutze G, Bauermeister U, Kunze M
Zentralbl Gynakol. 1978;100(14):946-53.
It is reported on the prophylaxis of thromboembolic diseases with acetylsalicylic acid (Micristin) in gynaecological surgery. The number of thromboembolic complications clinically ascertained was diminished from 3,25% (without Micristin) to 0,82% (with Micristin). Side effects were rarely observed, laboratory control was not necessary, Low-dose-heparin-prophylaxis were executed on contraindications and incompatibilities of Micristin. The perioperative use of low doses of heparin combined with postoperative use of oral anticoagulants on patients with increased risk of thromboembolism are discussed.
本文报道了乙酰水杨酸(微晶阿斯匹林)在妇科手术中预防血栓栓塞性疾病的应用。临床确诊的血栓栓塞并发症数量从3.25%(未使用微晶阿斯匹林)降至0.82%(使用微晶阿斯匹林)。很少观察到副作用,无需实验室监测,微晶阿斯匹林在禁忌证和不相容性方面采用低剂量肝素预防措施。本文还讨论了对血栓栓塞风险增加的患者围手术期使用低剂量肝素并联合术后使用口服抗凝剂的情况。