METHOD administered to patients after a prosthetic repair of the tricuspid valve

摘要

1. A method for the management of patients after prosthesis tricuspid valve comprising a continuous constant use of warfarin and aspirin, and indications for use of heparin, fresh frozen plasma and vitamin K1, characterized in that the warfarin dose correction is performed depending on the value of international normalized ratio (MHO) in plasma venous blood, assuming the criterion of adequacy secondary target value MHO = 3 and in the range of not less than 2.5 and not more than 4.5. ! 2. A method according to claim 1, characterized in that at a value of not less than 2.0 MHO heparin cancel or not prescribed, and at least 2.0 MHO heparin administered to a patient, wherein the first continuous intravenous administration avtoshpritsem administered unfractionated heparin given body weight and age in a dose of 10 (children) to 100 (adults) u / kg, to achieve therapeutic indices activated partial (partial) thromboplastin time (aPTT) range from 60 to 75 s, and then proceeds to parenteral administration fraxiparin rate of 50 anti-Xa u / kg / 12 h ave and control between 0.2 and 0.4 anti-X activity, therapeutic aPTT indicators maintained in the range of from 60 to 75 seconds. ! 3. A method according to claim 2, characterized in that immediately after the operation prosthetic tricuspid valve heparin administered after receipt by reducing the rate of drainage tube is not less than 3-3.5 times as compared with the rate of wound on Incoming drainage tube to available in the first hour after surgery, the wound discharge flow of the drain tube must not exceed 0.5-1.0 mL / kg / h. ! 4. A method according to claim 2, characterized in that immediately after the operation of the prosthetic