[术前给予低分子量预防性肝素时卵巢血管结扎残端的组织学变化]
[Histologic changes in ligated stumps of ovarian blood vessels in preoperative low-molecular weight preventive heparin administration].
作者信息
Slunsky R
机构信息
Abteilung für Frauenheilkunde, Krankenhaus Klosterneuburg, Osterreich.
出版信息
Gynakol Geburtshilfliche Rundsch. 1995;35(1):6-11. doi: 10.1159/000272462.
OBJECTIVE
Thrombotic changes and vascular lesions during adnexectomy were observed. We resected the stumps of the ovarian blood vessels after 30 min.
METHODS
Two hours before surgery we injected a dosis of 20 mg Lovenox s.c. Special histological methods of coloring were used.
RESULTS
We found evidence of only parietal thrombus formation 3 times (10%) in the arteries and 4 times (13.3%) in the veins; the endothelial damage was reduced.
CONCLUSIONS
Low-molecular-weight heparin is most effective and safe in the prevention of thrombogenesis. We definitively replaced the "old" standard heparin in clinical gynecological practice.
目的
观察附件切除术期间的血栓形成变化和血管病变。我们在30分钟后切除卵巢血管残端。
方法
手术前两小时，我们皮下注射20毫克速碧林。使用了特殊的组织学染色方法。
结果
我们发现仅在动脉中有3次（10%）出现壁血栓形成证据，在静脉中有4次（13.3%）；内皮损伤有所减轻。
结论
低分子肝素在预防血栓形成方面最有效且安全。我们在临床妇科实践中明确取代了“旧的”标准肝素。
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