EXPERIENCE OF CONSERVATIVE TREATMENT OF DEEP CLOTTAGES IN SYSTEM OF LOWER HOLLOW VEIN
Abstract
Experience of treatment of patients with acute phlebothrombosis of lower limbs in specialized vascular unit at 96 patients is presented in the article. All patients began treatment with direct anticoagulants - subcutaneous injections of unfractionated or low-molecular heparins according to the standard scheme. Rendering on treatment with the tableted anticoagulants - the antagonist of K vitamin Warfarin (at 33,3% of all patients) or inhibitor of X factor (rivaroxaban) at 67,7% of patients was performed during a week. Then at out-patient stage 86 patients who continued the treatment with Warfarin or rivaroxaban were conducted control ultrasonic research of the affected veins in 1, 3, 6 and 8 months after the beginning of a disease. It was found out that there was a process of canalization of the thrombosed veins is more expressed in group of the patients who took rivaroxaban. Recurrence of venous clottages was not registered in both groups. Hemorrhagic complications arose seldom in both groups of patients and didn’t lead to serious consequences.
About the Authors
V. A. Safonov
NGH «Road clinic hospital PLC „The Russian Railways (RZhD)“»
Russian Federation
D. F. Gromatsky
NGH «Road clinic hospital PLC „The Russian Railways (RZhD)“»
Russian Federation
S. V. Nenarochnov
NGH «Road clinic hospital PLC „The Russian Railways (RZhD)“»
Russian Federation
R. Z. Sherov
NGH «Road clinic hospital PLC „The Russian Railways (RZhD)“»
Russian Federation
References
1. Бокарев И. Н. Тромбозы и противотромботическая терапия в клинической практике / И. Н. Бокарев, Л. В. Попова, Т. В. Козлова. - М. : МИА, 2009. - 511 с.
2. Основы клинической флебологии / Под ред. акад. Ю. Л. Шевченко, проф. Ю. М. Стойко. - М. : ЗАО «Шико», 2013. - 336 с.
3. Место новых пероральных антикоагулянтов в профилактике и лечении венозных тромбоэмболий / В. И. Петров [и др.] // Ангиология и сосудистая хирургия. - 2014. - Т. 20, № 3. - С. 89-93.
4. Российские клинические рекомендации по диагностике, лечению и профилактике венозных тромбоэмболических осложнений // Флебология. - 2010. - Т. 4, № 2. - С. 1-37.
5. Флебология : руководство для врачей / Под ред. акад. В. С. Савельева. - М. : Медицина, 2001. - 660 с.
For citations:
Safonov V.A.,
Gromatsky D.F.,
Nenarochnov S.V.,
Sherov R.Z.
EXPERIENCE OF CONSERVATIVE TREATMENT OF DEEP CLOTTAGES IN SYSTEM OF LOWER HOLLOW VEIN. Journal of Siberian Medical Sciences. 2015;(3):22.
Views:
105