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Профілактика ТЕЛА - Травматологія і ортопедія - Форум лікарів
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Профілактика ТЕЛА

[phpBB Debug] PHP Warning: in file [ROOT]/vendor/twig/twig/lib/Twig/Extension/Core.php on line 1107: count(): Parameter must be an array or an object that implements Countable
Darmidon
Повідомлень: 1055
З нами з: 19 березня 2015, 19:29
Спеціальність: хipургiя
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Профілактика ТЕЛА

Повідомлення#1 » 02 червня 2019, 09:23

Хворий, 50 років, багатовідламковий міжвиростковий внутрішньосуглобовий перелом великогомілкової кістки зі зміщення фрагментів. Скелетне витяжіння на 40 діб. Чи проводиться профілактика ТЕЛА, чим і скільки часу?

Аватар користувача
Костоправ
Повідомлень: 25
З нами з: 22 лютого 2015, 14:40
Спеціальність: травматолог
Звідки: Україна
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Re: Профілактика ТЕЛА

Повідомлення#2 » 02 червня 2019, 20:58

Гарний метод лікування. Я би не призначав медикаментозної профілатики.

Darmidon
Повідомлень: 1055
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Re: Профілактика ТЕЛА

Повідомлення#3 » 02 червня 2019, 21:38


Ded'o
Повідомлень: 25
З нами з: 11 березня 2015, 15:55
Спеціальність: травматологія
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Re: Профілактика ТЕЛА

Повідомлення#4 » 03 червня 2019, 10:07

А яка причина відмови від операції? Фінанси?

Darmidon
Повідомлень: 1055
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Re: Профілактика ТЕЛА

Повідомлення#5 » 03 червня 2019, 11:14


Ded'o
Повідомлень: 25
З нами з: 11 березня 2015, 15:55
Спеціальність: травматологія
Звідки: Львів
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Re: Профілактика ТЕЛА

Повідомлення#6 » 07 червня 2019, 14:16

А скільки в нього є грошей на антикоагулянти? Таке лікування це практично інвалідизація, мабуть зовсім сутужно з грошима. А Ксарелто це вам не аспекард...

Аватар користувача
Ілля Пігович
Повідомлень: 1501
З нами з: 18 лютого 2015, 12:05
Спеціальність: хірург
Звідки: Кам'янець-Подільський
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Re: Профілактика ТЕЛА

Повідомлення#7 » 07 червня 2019, 20:03

Уточнив це питання в нас. Тромбопрофілактика потрібна. Або НМГ (мінус - постійні уколи), або ксарелто, або варфарин під контролем МНО. Треба порахувати суми по кожному препарату на весь період і вибрати самий економічний.

Аватар користувача
Ілля Пігович
Повідомлень: 1501
З нами з: 18 лютого 2015, 12:05
Спеціальність: хірург
Звідки: Кам'янець-Подільський
Місце роботи: Кам'янець-Подільська міська лікарня №1, хірургічне відділення
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Re: Профілактика ТЕЛА

Повідомлення#8 » 07 червня 2019, 20:06

По ксарелто можуть бути програми скидок, треба уточнити в місцевих аптеках і в центрі ПМСД.

Darmidon
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Re: Профілактика ТЕЛА

Повідомлення#9 » 08 червня 2019, 15:03


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