Onkološki inštitut Ljubljana (OILJ)
  • Preprečevanje venske tromboze in pljučne embolije = Prevention of venous thrombosis and pulmonary embolism
    Poredoš, Pavel ; Peternel, Polona
    The paper discusses risk factors for venous thrombosis, assessment of risk to individual patients from thromboembolic complications and possible methods forpreventing venous thrombosis and pulmonary ... embolisms. Old age, cancer, orthopedic surgery, inherited or acquired thrombophilia and immobility increase the risk of venous thromboembolic complications. Patients with a low risk of venous thromboembolisms do not require pharmacological prophylaxis of venous thromboembolisms, but rather early mobilisation after surgery, compressive stockings or other means of physical therapy. In addition to non-pharmacological prophylaxis, patients with a moderate risk or high risk ofvenous thromboembolism also require pharmacological prophylaxis of venous thromboembolisms. Standard unfractionated heparin and low molecular weight heparin are available. In patients at moderate risk of venous thromboembolisms, the efficacy of standard and low molecular weight heparin iscomparable, but low molecular weight heparin is more efficient in patients at high risk (orthopaedic patients, patients with cerebrovascular incidents and patients with polytrauma). Aspirin, dextran and low dose warfarin are lesseffective than heparin. In patients with an increased risk of bleeding, intermittent pneumatic compression of the legs is used instead of heparin. Patients with a very high risk of venous thromboembolisms (surgery of the kneeor hip) require a combination of low molecular weight heparin and intermittent pneumatic compression of the legs. (Abstract truncated at 2000 characters.)
    Vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 39, suppl. 2, 2000, str. 9-14)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 11611865

vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 39, suppl. 2, 2000, str. 9-14)

loading ...
loading ...
loading ...