Prophylaxis of pulmonary artery trombembolism

Abstract

Informative analysis of the efficiency of prophylaxis of pulmonary artery trombembolism. Clinical data, laboratory and preventive methods applied to a group of 627 patients treated at the clinic ATI in 2009. Results: From 627 patients monitored, 473 had the benefit of a perioperatory tromboprophylaxis, and other 154 patients got only a postoperatory tromboprophylaxis. The incidence of pulmonary artery trombembolism is 0.48%, this result refers only to patients operated urgently. The incidence of letal cases is 0.16% Pulmonary artery trombembolism incidence varies depending on the combination of predisposing factors. There were studied several combined methods of prophylaxis. Priority was the combination of mechanical methods (application of elastic bandages on the legs) with low molecular mass heparins (LMWH). Effectiveness of preventive methods applied methods % Elastic bandage 68.2 Heparin 4.8 Nadroparine (Fraxiparine) 22.4 Dalteparine (Fragmin) 13.7 Enoxaparie (Clexane) 51 Combined methods 68.2 From observation of the study is determined an increased efficiency of use the combination of mechanical methods with Enoxoparine (Klexan) in tromboprophylaxis of patients with moderate and high risk of pulmonary artery trombembolism. The priorities of Enoxoparine, to other low molecular weight heparins are not requiring the determination of bleeding and clotting time during administration. Also there was no change in platelet count in patients receiving Enoxoparine.