| Autor: |
J C, Peyrin, V, Waldmann, P, Girardet, P, Pouzol, J, Duret, J M, Fargnoli, J L, Magne, Y, Perron |
| Jazyk: |
francouzština |
| Rok vydání: |
1986 |
| Předmět: |
|
| Zdroj: |
Journal de chirurgie. 123(6-7) |
| ISSN: |
0021-7697 |
| Popis: |
Consumption coagulopathy (CIVD) is a frequent complication of peritoneojugular bypass operation. Preventive treatment applied involves low-dose heparin (1.5 mg/kg/d) to maintain an antithrombin III concentration of at least 65%. Results are evaluated in 6 patients treated by 7 bypass operations. A biologic CIVD developed in 2 cases (29%) but no clinical coagulopathy was observed. This incidence is less than that usually reported, a literature review indicating a biologic coagulopathy in 65% of cases, with clinical evidence in 12.5%. Furthermore, patients with spontaneously elevated AT III levels did not develop CIVD while, in contrast, sufficiently high concentrations of AT III could not be maintained in the 2 patients with coagulopathy. These findings suggest the interest of prevention of a CIVD by the use of this procedure. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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