[Prevention of thromboembolism using low molecular weight heparin and hemodilution in traumatologic geriatric surgery of the femur neck].
A routine method of prophylaxis of thromboembolic disease is evaluated on 181 elderly patients undergoing post-traumatic hip surgery. A low incidence of proximal thrombosis and fatal embolism is noted and rated as a beneficial effect of the association of low molecular weight heparin therapy and moderate hemodilution; it is also connected with a precocious diagnosis of the thrombotic complications--before the proximal extension of silent thromboses--by the measurement of specific fibrin derivatives used as a screening technique in order to select the patients who will have to undergo venographical examination.
Wattrisse
G
G
Service d'Anesthésie-Réanimation, Centre Hospitalier Victor-Provo, Roubaix.
Lecoutre
D
D
Groux-Pante
C
C
Mottet
D
D
D000368:Aged; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006438:Hemodilution; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D013923:Thromboembolism / Q000517:prevention & control*
D006495:Heparin, Low-Molecular-Weight
Prophylaxie thrombo-embolique par héparine de bas poids moléculaire et hémodilution en chirurgie traumatologique gériatrique du col du fémur.