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[泌尿外科中的血栓栓塞并发症]

[Thromboembolic complications in urology].

作者信息

Krska Z, Kvasnicka J, Pesková M, Simon V

机构信息

I. chirurgická klinika 1. lékarské fakulty Univerzity Karlovy, Praha, Czech Republic.

出版信息

Sb Lek. 1995;96(2):121-30.

PMID:8718795
Abstract

Using the latest examination methods the authors have proved relatively wide spread recurrence of thromboembolic complications. Proved were even the mortal forms in urology in case of benign diagnosis as well as relatively considerate operational medical performance. An evident effect of prophylactic, physical and especially pharmacological methods was proved in prevention of thromboembolic disorders. Silent form of deep venous thrombosis were diagnosed to patients with mere physical prophylaxis. On the other side unfavourable effect of low molecular weight heparin on blood loses was not proved even in laboratory picture. Higher risk of thromboembolic complications origin was observed even on the 21st postoperation day. Currently authors consult the appropriateness of individual types of prophylaxis with the different urology illnesses risk groups.

摘要

作者使用最新的检查方法证实了血栓栓塞并发症的复发较为普遍。在泌尿外科,即使诊断为良性且手术医疗操作相对周到的情况下,也出现了致命病例。已证实预防、物理尤其是药物方法在预防血栓栓塞性疾病方面有明显效果。仅通过物理预防措施的患者被诊断出患有无症状型深静脉血栓形成。另一方面,即使在实验室检查结果中,也未证实低分子量肝素对失血有不利影响。甚至在术后第21天也观察到血栓栓塞并发症发生的较高风险。目前,作者针对不同泌尿外科疾病风险组,探讨了各类预防措施的适用性。

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