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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1979-3-28
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pubmed:abstractText |
A concentrated and a diluted heparin solution (Vitrum AB) have been evaluated in a controlled blind study, using a standard dosage of 5 000 IU, given every 12 hours subcutaneously. 167 patients undergoing abdominal surgery were randomized into three groups: 63 received diluted heparin 5 000 IU/ml, 43 received concentrated heparin 25 000 IU/ml and 61 patients served as controls. 80 per cent of the patients suffered from malignant disease. Deep venous thrombosis (DVT), diagnosed with the 125I-fibrinogen method, was found in 16% of the patients receiving diluted heparin, in 23% of those receiving concentrated heparin and in 33% of the controls. To evaluate the amount injected, an in vitro experiment was performed in which the intended dose was 5 000 IU. The measured amount of the concentrated heparin solution was significantly less than 5 000 IU. It is concluded that the frequency of DVT after gastrointestinal operations can be reduced significantly (in the present study from 33 to 16%) by administering diluted calcium heparin every 12 hours for 6--8 days. The concentrated heparin solution did not significantly reduce postoperative DVT, possibly on account of variations in the dosage. Diluted heparin prophylaxis can be achieved without serious side effects.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0001-5482
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
144
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
283-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:367024-Adult,
pubmed-meshheading:367024-Aged,
pubmed-meshheading:367024-Clinical Trials as Topic,
pubmed-meshheading:367024-Digestive System Surgical Procedures,
pubmed-meshheading:367024-Drug Evaluation,
pubmed-meshheading:367024-Female,
pubmed-meshheading:367024-Fibrinogen,
pubmed-meshheading:367024-Heparin,
pubmed-meshheading:367024-Humans,
pubmed-meshheading:367024-Injections, Subcutaneous,
pubmed-meshheading:367024-Iodine Radioisotopes,
pubmed-meshheading:367024-Male,
pubmed-meshheading:367024-Middle Aged,
pubmed-meshheading:367024-Postoperative Complications,
pubmed-meshheading:367024-Thrombophlebitis,
pubmed-meshheading:367024-Time Factors
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pubmed:year |
1978
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pubmed:articleTitle |
Concentrated or diluted heparin prophylaxis of postoperative deep venous thrombosis.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|