Subcutaneous low molecular weight heparin versus subcutaneous unfractionated heparin in the treatment of deep vein thrombosis: a Polish multicenter trial.

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类别 Primary study
期刊Thrombosis and haemostasis
Year 1992
在一项前瞻性多中心试验中,149例连续患者近端phlebographically证明和/或远端的下肢深静脉血栓形成,随机分配至接受为期10天或低分子量肝素皮下注射赛扬216(速避凝)在一个固定的剂量或普通肝素(普通肝素的剂量)作出调整,以活化部分凝血活酶时间。前和后处理phlebograms盲目使用进行评估的134例患者的治疗效果,可供分析的阿尔纳森的评分系统。平均phlebographic评分治疗后10天显着下降,两组(p小于0.001),与基线评分比较,但在两组间评分变化差异不显着。有一个在六十八分之四十五例(66%)在低分子肝素组和32/66例(48%的普通肝素组),并在有关68分之10血栓大小(15%),增加提高了12 / 66(18%),分别。一个症状的非致命性肺动脉栓塞和出血事件的一个主要观察在普通肝素组。在3个月的后续行动期间,两个rethromboses发生在普通肝素组和低分子肝素组无。结论:固定剂量皮下注射低分子肝素是安全的,至少为皮下深静脉血栓形成的调整普通肝素治疗有效。
Epistemonikos ID: 52e2ff19fa4d9da0df5fa487193ce8df3bde6963
First added on: Jun 08, 2011
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