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Year 2011 Vol. 19 No 6

GENERAL AND SPECIAL SURGERY

.D. BELOVA, E.P. BURLEVA, S.M. BELENTSOV

EFFICACY COMPARATIVE ESTIMATION OF THE STARTING OUT-PATIENT AND IN-PATIENT TREATMENT OF PATIENTS WITH THE LOWER LIMBS DEEP VEINS THROMBOSES

Objectives. To compare the efficiency of starting in-patient and out-patient treatment of patients with the lower limbs deep veins thromboses (DVT).
Methods. The clinical picture, ultrasonic duplex scanning (UDS) data and coagulation parameters were compared in two groups: the 1st group (in-patients) – 134 patients (135 cases); the 2nd group (out-patients) – 56 patients (58 cases) with DVT prevalence in the femoral-popliteal segment.
Results. 12 - 14 days after the therapy start slightly better parameters on the pain syndrome regress and edema were obtained in the 1st group. UDS dynamics was: occlusion conservation (the 1st group - 10 %, the 2nd group - 21,7 %), partial recanalization (the 1st group - 60,0 %, the 2nd group - 65,2 %), full recanalization (the 1st group - 30,0 %, the 2nd group - 8,7 %). The principal antithrombotic and hypocoagulatory effect was obtained in both groups without statistically significant differences in coagulation parameters. Hemorrhagic complications were the following: the 1st group – 3 (small – 2), the 2nd group – 1 (small-1).The signs of pulmonary embolism registered in the beginning (the 1st group – 4,5 %, the 2nd group – 1,8 %) have regressed after the treatment.
Conclusions. The out-patient treatment of patients with DVT in the acute period is as good as the in-patient treatment in terms of its efficiency and safety.

Keywords: venous thrombosis, out-patient department treatment
p. 64 – 69 of the original issue
References
  1. Амбулаторная ангиология / В. Ф. Агафонов [и др.]; под общ. ред. А. И. Кириенко, В. М. Кошкина, В. Ю. Богачева. – М.: Литтерра, 2007. – 327 с.
  2. Antithrombotic therapy for venous thromboembolic disease: American college of Chest physicians Evidence-based clinical practice guidelines // Chest. – 8th ed. – 2008. – Vol. 133. – P. 454-545.
  3. Амбулаторное лечение тромбозов глубоких вен нижних конечностей / С. Г. Леонтьев [и др.] // Флебология. – 2009. – Т. 4, № 3. – С. 41-44.
  4. Bed rest in deep vein thrombosis and the incidence of scintigraphic pulmonary embolism / S. M. Schellong [et al.] // Thromb. Haemost. – 1999. – Vol. 82. – Suppl. – P. 127-129.
  5. Partsch, H. Compression and walking versus bed rest in the treatment of proximal deep venous thrombosis with low molecular weight heparin / H. Partsch, W. Blattler // J. Vase. Surg. – 2000. – Vol. 32. – P. 861-869.
  6. Weismantel, D. Treatment of the patients with deep vein thrombosis / D. J. Weismantel // J. Fam. Practice. – 2001. – Vol. 50. – P. 135-148.
  7. Partsch, H. Ambulation and compression after deep vein thrombosis: dispelling myths / H. Partsch // Vasc. Surg. – 2005. – Vol. 18, N 3. – P. 148-152.
  8. A randomized trial comparing 2 low-molecular-weight heparins for the outpatient treatment of deep vein thrombosis and pulmonary embolism / Ph. S. Wells [et al.] // Arch. Intеrn. Med. – 2005. – Vol. 165, N 11. – P. 733-738.
  9. Douketis, J. D. Treatment of deep vein thrombosis / J. D. Douketis // Canadian Family Physician. – 2005. – Vol. 51. – P. 217-223.
  10. Blattler, W. Implementation of outpatient treatment of deep-vein thrombosis in private practices in Germany / W. Blattler, H. E. Gerlach // Eur. J. Vasc. Endovasc. Surg. – 2005. – Vol. 30, N 3. – P. 319-324.
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