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血管手术中肝素化的监测

Monitoring of intraoperative heparinization in vascular surgery.

作者信息

Manny J, Romanoff H, Hyam E, Manny N

出版信息

Surgery. 1976 Nov;80(5):641-3.

PMID:982283
Abstract

In 15 patients undergoing aortofemoral bypass, partial thromboplastin time (PTT) tests before and following intravenous administration of 75 U. per kilogram of heparin at zero, 30, 60, 90, and 120 minutes were determined for study of control of anticoagulant adequacy. The results demonstrate clearly that this amount provides excellent protection against thrombosis without bleeding complications. For intraoperative assay of heparin level effectiveness, the PTT test is advised. This test showed that a value of 250 percent of control still existed 75 minutes following the administration of heparin.

摘要

在15例行主动脉股动脉旁路移植术的患者中,于静脉注射每千克体重75单位肝素后的0、30、60、90和120分钟测定部分凝血活酶时间(PTT),以研究抗凝充分性的控制情况。结果清楚地表明,该剂量可提供极佳的抗血栓形成保护作用,且无出血并发症。对于术中肝素水平有效性的测定,建议采用PTT试验。该试验显示,肝素给药75分钟后,PTT值仍为对照值的250%。

相似文献

1
Monitoring of intraoperative heparinization in vascular surgery.血管手术中肝素化的监测
Surgery. 1976 Nov;80(5):641-3.
2
[Informative value of control methods for postoperative supervision of medication with aspirin and heparin (author's transl)].阿司匹林和肝素术后用药监测控制方法的信息价值(作者译)
MMW Munch Med Wochenschr. 1977 Jan 28;119(4):119-22.
3
Regional versus systemic heparinization.局部肝素化与全身肝素化
Surg Gynecol Obstet. 1979 Jun;148(6):913-6.
4
[Heparin prophylaxis of thrombohemorrhagic complications in surgical interventions in cancer patients].[肝素预防癌症患者外科手术中的血栓出血并发症]
Vopr Onkol. 1989;35(8):974-9.
5
[Activated coagulation time and the concentration of heparin in assessing the level of blood heparinization during operations using artificial blood circulation].[在人工血液循环手术中,活化凝血时间与肝素浓度用于评估血液肝素化水平]
Anesteziol Reanimatol. 1989 Mar-Apr(2):11-5.
6
Intraoperative heparin thromboembolic prophylaxis in primary total hip arthroplasty. A prospective, randomized, controlled, clinical trial.
Clin Orthop Relat Res. 1992 Jan(274):35-46.
7
[Heparinization control by activated coagulation time in cardiac surgery with extracorporeal circulation].
Arq Bras Cardiol. 1989 Mar;52(3):137-9.
8
Low molecular weight heparin prevention of post-operative deep vein thrombosis in vascular surgery.低分子量肝素预防血管外科手术后深静脉血栓形成
Pharmatherapeutica. 1988;5(4):261-8.
9
[Is the activated partial thromboplastin time suitable for monitoring of thrombosis therapy with high-dose standard heparin?].活化部分凝血活酶时间是否适用于监测大剂量标准肝素的血栓形成治疗?
Schweiz Med Wochenschr. 1994 Apr 30;124(17):712-9.
10
Monitoring activated clotting time for combined heparin and aprotinin application: in vivo evaluation of a new aprotinin-insensitive test using Sonoclot.监测肝素与抑肽酶联合应用时的活化凝血时间:使用Sonoclot对一种新型抑肽酶不敏感检测方法的体内评估
Eur J Cardiothorac Surg. 2006 Aug;30(2):278-84. doi: 10.1016/j.ejcts.2006.05.016. Epub 2006 Jul 7.

引用本文的文献

1
Clinical pharmacokinetics of heparin.肝素的临床药代动力学
Clin Pharmacokinet. 1980 May-Jun;5(3):204-20. doi: 10.2165/00003088-198005030-00002.
2
Time-related effects of heparin sulfate on regional and systemic anticoagulation.硫酸肝素对局部和全身抗凝的时间相关效应。
J Natl Med Assoc. 1992 Nov;84(11):961-4.