Correction of vascular, thrombocytic and coagulative system of homeostasis in trauma and orthopaedic microsurgery

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Abstract

To improve the blood circulation during reconstructive operations with microsurgical technique acelysin (1.92±0.19 mg/kg) and clexane (0.59±0.07 mg/kg) was applied intra- and postoperatively in 16 and 11 patients, respectively. Control group included 12 patients. The study of coagulative, vascular and thrombocytic systems showed that the drugs were effective to keep up moderate blood hypocoagulation during and after long microsurgical operations. Acelysin provided prolonged hypocoagulation state while clexane had less prolonged and more slight effect.

About the authors

N. P. Mironov

Priorov Central Institute of Traumatology and Orthopedics; Scientific Center for Surgery; Medical Center of the Presidential Administration of the Russian Federation

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow; Moscow

V. A. Svetlov

Priorov Central Institute of Traumatology and Orthopedics; Scientific Center for Surgery; Medical Center of the Presidential Administration of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow; Moscow

A. V. Vabishchevich

Priorov Central Institute of Traumatology and Orthopedics; Scientific Center for Surgery; Medical Center of the Presidential Administration of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow; Moscow

A. I. Krupatkin

Priorov Central Institute of Traumatology and Orthopedics; Scientific Center for Surgery; Medical Center of the Presidential Administration of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow; Moscow

S. A. Fedotov

Priorov Central Institute of Traumatology and Orthopedics; Scientific Center for Surgery; Medical Center of the Presidential Administration of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow; Moscow

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2. Fig. 1. Dynamics of clotting time, min.

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3. Fig. 2. Prothrombin index dynamics, %.

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4. Fig. 3. Dynamics of activated partial thromboplastin time, s.

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5. Fig. 4. Dynamics of fibrinogen parameters, mg%.

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6. Fig. 5. Dynamics of fibrin-stabilizing factor (factor XIII), s.

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Copyright (c) 1998 Eco-Vector



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