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METHOD FOR TREATING AND PREVENTING THROMBOPHILIA PREDOMINANTLY IN GESTATION AND POST PARTUM

机译:在妊娠和产后主要治疗和预防血栓形成的方法

摘要

A method for treating and preventing thrombophilia predominantly in gestation and post partum comprises anticoagulant therapy on an outpatient basis with 50-75 mg of tabletted Pentosan polysulfate SP 54 as herbal-derived heparinoid in the mode of the specified daily dose until the normalization of the physiological parameters of hemostasis. In addition, in the first trimester prior to the beginning of the treatment, D-dimer content is assayed in the hospital as a marker of thrombophilia. Furthermore, the concentration of the soluble fibrin monomer complexes in the blood and the body mass of the pregnant patient are taken into account. When the accumulation of D-dimer or soluble fibrin monomer complexes exceeds 0.5 µgFEU/mL or 0.2 mg/L, respectively, Fraxiparin is injected subcutaneously in a volume of 0.3-0.6 mL daily under control of platelet count and calcium content every 5 and 14 days, correspondingly, until the normalization of thrombinemia values. When the accumulation of D-dimer or soluble fibrin monomer complexes exceeds 1.5 µgFEU/mL or 0.6 mg/L, respectively, or body mass index exceeds 34.9 kg/m, Pentosan polysulfate SP 54 (2 daily doses) is administered together with Calcemin advance as stimulator of phosphorus-calcium metabolism.
机译:一种主要在妊娠和产后治疗和预防血栓形成的方法,包括在门诊患者以指定的日剂量模式用50-75 mg片状戊聚糖多硫酸盐SP 54作为草药来源的类肝素进行抗凝治疗,直到生理正常化止血参数。另外,在治疗开始前的头三个月中,在医院中测定了D-二聚体含量,作为血栓形成的标志。此外,考虑到孕妇血液和人体中可溶性纤维蛋白单体复合物的浓度。当D-二聚体或可溶性纤维蛋白单体复合物的积累分别超过0.5 µgFEU / mL或0.2 mg / L时,在血小板数和钙含量控制下,每5和14天,皮下注射氟西帕林的剂量为每天0.3-0.6 mL天,相应地,直到血红蛋白血症值恢复正常为止。当D-二聚体或可溶性纤维蛋白单体复合物的积累分别超过1.5 µgFEU / mL或0.6 mg / L,或体重指数超过34.9 kg / m时,将戊糖多硫酸盐SP 54(每日2剂)与Calcemin一起使用作为磷钙代谢的刺激物。

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