Brehm R, Philipp K
Geburtshilfe Frauenheilkd. 1981 Jun;41(6):431-4. doi: 10.1055/s-2008-1037196.
In a prospective study low dosage subcutaneous heparin was administered to 148 patients after major gynaecological operations. The preventive effect on deep vein thrombosis was monitored by the radioactive iodine fibrinogen test. In 10.1% (15) of the cases higher than normal activity of the radioiodine fibrinogen test was detected. Only 4 patients (2.7%) had clinical signs of deep vein thrombosis. Because of the early occurrence of silent signs of deep vein thrombosis in the radioactive iodine fibrinogen test the onset of the subcutaneous heparin prophylaxis of thrombosis was shifted from the post-operative period to the pre-operative administration.
在一项前瞻性研究中,对148例接受大型妇科手术后的患者给予低剂量皮下肝素治疗。通过放射性碘纤维蛋白原试验监测对深静脉血栓形成的预防效果。在10.1%(15例)的病例中,检测到放射性碘纤维蛋白原试验活性高于正常。只有4例患者(2.7%)有深静脉血栓形成的临床体征。由于放射性碘纤维蛋白原试验中深静脉血栓形成的无症状体征出现较早,皮下肝素预防血栓形成的开始时间从术后时期提前到术前给药。