[在血运重建术干预中Іntraoperative止血的获取]。

Klinichna khirurgiia Pub Date : 2017-01-01
I K Venger, S Ya Kostiv, O B Kolotylo, O I Zarudna, O I Kostiv
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引用次数: 0

摘要

本文总结了106例因主动脉及下肢主干动脉粥样硬化而行血管重建术的患者的止血传导情况。术后早期手术干预创伤期高凝综合征是由于凝血酶血症在纤溶系统抑制的背景下发展起来的。证明有必要在手术干预结束后立即应用非分级肝素影响凝血级联的凝血蛋白-纤维因子(因子ІІа),并按照分支标准使用低分子肝素(对Ха因子的影响)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[PROCURING OF ІNTRAOPERATIVE HEMOSTASIS IN REVASCULARIZATION INTERVENTIONS].

Results of the hemostasis conduction in conditions of revascularization in 106 patients, оperated on for atherosclerotic affection of aorta and the main arteries of the lower extremities, were adduced. Syndrome of hypercoagulation of traumatic stage of surgical intervention in early postoperative period is developing due to thrombinemia on background of a fibrinolytic system depression. There was proved a necessity to impact on thrombin-fibrinous factor (factor ІІа) of hemocoagulant cascade by application of nonfractionized heparins immediately after conclusion of operative intervention with thromboprophylaxis prolongation, using low-molecular heparins (impact on Ха factor) in accordance to the branch standards.

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