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本文作者复习1979年到1982年间73例拟诊急性深静脉血栓形成(DVT)和肺栓塞(PE)的病例,男性32例,女性41例,平均年龄50岁。病史均记录了有关致病的危险因素,包括肥胖、创伤、手术后状态、避孕药应用、卧床及制动、恶性肿瘤和充血性心力衰竭等。全组均用静脉造影确定 DVT 的程度,而PE 是经动脉造影或肺扫描确诊。治疗包括给予肝素和继而使用口服抗凝剂,调节部份凝血活酶时间(PTT)到对照值的1(1/2)～2(1/2)倍,以获适当的肝素化。
The authors reviewed 73 cases of acute DVT and PE in 1979-1982. There were 32 males and 41 females, with an average age of 50 years. History records all risk factors associated with the disease, including obesity, trauma, postoperative status, contraceptive use, bed rest and brakes, malignancies and congestive heart failure. The whole group were used to determine the extent of DVT venography, and PE is confirmed by arteriography or lung scan. Treatment included administration of heparin followed by oral anticoagulation and adjustment of partial thromboplastin time (PTT) to 1 (1/2) to 2 (1/2) fold of the control value for proper heparinization.