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Published byMaya Long Modified over 11 years ago
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VASCULAR THROBOSIS PREVENTION IN ARTERY SURGERY P. Niedziela J. Michalak W. Kobusiewicz,P. Niedziela J. Michalak W. Kobusiewicz, Department of Vascular Surgery Medical Academy, Lublin, Poland PRAGUE 2002
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thrombosis in case obesity age above 40 malignant cancers hormonal drug varicose veins
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< 1 hours 57 % 1 – 3 hours 35 % > 3 hours 8 %
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methods physicalpharmacological
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Standard heparin Standard heparin LMWH LMWH Dextran Dextran Oral anticoagulants Oral anticoagulants Acetylsalicylic acid Acetylsalicylic acid
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low risk low risk medium risk medium risk high risk high risk
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age up 40 have undergone operative treatments without clinical risk factors
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more than 40 years old major arterial treatments without clinical risk factors
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above 40 years old vast reconstructive operations with additional risk factors
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Prophylaxis of deep vein thrombosis standard heparin standard heparin low molecular weight heparin low molecular weight heparin
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Fraxiparin0,01ml/kg Clexane 1 mg/ kg Clivarin 1432 85jm/kg
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fewer complications fewer complications lower cost of treatment lower cost of treatment convenient way of administration convenient way of administration
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