Brady L P
South Med J. 1977 May;70(5):546-8. doi: 10.1097/00007611-197705000-00012.
The morbidity and incidence of thromboembolic complications can be reduced by patient awareness, nursing staff concern, and physician responsibility using mechanical measures and drugs. Preoperative exercise instrutions, early ambulation, calf exercise, antiembolism hose, postoperative circle-bed turning and use of the Trendelenburg position, the use of intravenous dextran postoperatively and, in selected cases, low doses of sodium warfarin (Coumadin) form the foundation of our approach to the prophylaxis of thromboembolic phenomena. In the presence of thrombophlebitis, phenylbutazone (Butazolidin) is used. Dextran is used with caution in the presence of diminished biliary function. Heparin is avoided except in proven pulmonary embolism. No complications have resulted from this regimen.
通过提高患者意识、护理人员关注以及医生负责，采用机械措施和药物，可以降低血栓栓塞并发症的发病率和发生率。术前运动指导、早期下床活动、小腿运动、抗栓袜、术后床边翻身及使用头低脚高位、术后静脉输注右旋糖酐以及在特定情况下使用低剂量华法林钠（香豆素）构成了我们预防血栓栓塞现象方法的基础。对于血栓性静脉炎，使用保泰松（布他唑啉）。在胆汁功能减退时谨慎使用右旋糖酐。除非确诊为肺栓塞，否则避免使用肝素。该治疗方案未导致任何并发症。
