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SM ISO690:2012 RUSU, Petru, CAZACU, Gheorghe, GUŢU-BAHOV, Cornelia. Actualităţi ale profilaxiei tromboembolismului arterei pulmonare in perioada perioperatorie. In: Curierul Medical, 2010, nr. 6(318), pp. 8-13. ISSN 1875-0666. |
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Curierul Medical | |||||||
Numărul 6(318) / 2010 / ISSN 1875-0666 | |||||||
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Pag. 8-13 | |||||||
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News of Prophylaxis of Pulmonary Artery Trombembolism in Perioperative Period The purpose of this article is an informative analysis of the efficiency of prophylaxis of the pulmonary artery trombembolism. Out of 627 patients monitored, 473 had the benefit of a perioperatory tromboprophylaxis, while the other 154 patients got only a postoperatory tromboprophylaxis. The incidence of pulmonary artery trombembolism is 0.48%, this result refers only to patients operated on urgently. The incidence of lethal cases is 0.16%. Pulmonary artery trombembolism incidence varies depending on the combination of predisposing factors. We studied several combined methods of prophylaxis. Priority was the combination of mechanical methods (application of elastic bandages on the legs) with low molecular mass heparins. From observation of the study we determined an increased efficiency using the combination of mechanical methods with Enoxoparine (Klexan) in tromboprophylaxis of patients with moderate and high risk of pulmonary artery trombembolism. The priorities of Enoxoparine, to other low molecular weight heparins do not require the determination of bleeding and clotting time during administration. Also there was no change in platelet count in patients receiving Enoxoparine. |
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Cuvinte-cheie trombembolism, pulmonary artery, Enoxoparine, prophylaxis, preoperative period, postoperative period |
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