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ORANGE EKSTRAKLASA



Dołączył: 03 Mar 2011
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PostWysłany: Czw 13:44, 10 Mar 2011  

Prostatectomy Perioperative and thrombosis


Reduced the same can be divided into genetic and acquired two major categories. Fibrinolytic activity decreased hereditary genetic disorder mainly seen in the plasminogen hyperlipidemia, hereditary increased plasminogen activator inhibitor, congenital disorders of plasminogen activator release and FxI (Hageman factor) functional defects obtained In addition to means of fibrinolytic fibrinolytic activity decreased with increasing age of the physiological process of reducing the effects, mainly refers to the process of a number of diseases or pathological effects, including hyperlipidemia, obesity, coronary heart disease, diabetes, mainly PAI- l elevated levels. 3, prostate surgery, thrombosis diagnosis, prevention and treatment of arterial and venous thrombosis in addition to the general clinical examination can be diagnosed outside. For early diagnosis of thrombosis or confirmed the site of thrombosis,[link widoczny dla zalogowanych], often have to rely on a variety of laboratory tests, including the equipment and the hematology of two checks, a variety of detection methods have advantages and disadvantages. On hematological indicators of thrombosis have entered into the phase of + but so far the molecular level. There is no one or a set of indicators can be specifically diagnosed thrombosis. In this area, there are still many issues to be studied and clear. Many ways to prevent or reduce venous thrombosis, including the prophylactic use of heparin, warfarin, aspirin, dextran, and the application of intermittent gas compression socks (intermit-tentpneumaticcompressionstockings, IPCS) and the scale compression socks (graduatedcompressionstock-ings, GCS ) and so on. Various methods to compare the preventive effect, require a large number of samples, the current lack of data in this regard]. Prostate surgery, must be taken to avoid iatrogenic vascular injury, eating slowly after oral administration of drugs to prevent the stool Xiao dry, massage the limbs and early postoperative ambulation, and promote blood circulation. Risk factors for preoperative patients,[link widoczny dla zalogowanych], especially the coexistence of multiple risk factors as high-risk patients, preoperative prophylactic low-dose aspirin, dipyridamole, or enter such low molecular weight dextran. However,[link widoczny dla zalogowanych], after aspirin, during and after an increase in the possibility of bleeding. . Clinicians should be attention. View the past, after 3d is the risk of thrombosis, but recent studies confirm the sustainable of hypercoagulability after more than 3 weeks after discharge, some patients give up treatment and prevention of thrombosis thrombosis occurs. Therefore, patients at high risk for thrombosis, should adhere to the prevention of thrombosis after a long time. In the event of venous thrombosis, therapeutic measures should be taken as soon as possible. Medical treatment including heparin and streptokinase therapy,[link widoczny dla zalogowanych], thrombolytic therapy with urokinase and other thrombolytic agents; surgical treatment, including surgery of great saphenous vein ligation,[link widoczny dla zalogowanych], inferior vena cava filter insertion technique, emboli absorption technique, excision of such emboli.


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