Chinese Medical Sciences Journal ›› 2011, Vol. 26 ›› Issue (4): 221-226.doi: 10.1016/S1001-9294(12)60004-2

• Original Article • 上一篇    下一篇

Efficacy and Safety of Low Molecular Weight Heparin Prophylaxis for Venous Thromboembolism Following Lumbar Decompression Surgery

Zhi-jian Sun, Yu Zhao*, Giu-xing Qiu, Yi-peng Wang, Xi-sheng Weng, Hong Zhao, Jian-xiong Shen, Yu Jiang, Ye Li, and Xiang Li   

  1. Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • 收稿日期:2011-10-13 出版日期:2011-12-30 发布日期:2011-12-30
  • 通讯作者: ?Corresponding author Tel: 86-10-65296081, Fax: 86-10-65296081, E-mail: zhaoyupumch@hotmail.com E-mail:zhaoyupumch@hotmail.com

Efficacy and Safety of Low Molecular Weight Heparin Prophylaxis for Venous Thromboembolism Following Lumbar Decompression Surgery

Zhi-jian Sun, Yu Zhao*, Giu-xing Qiu, Yi-peng Wang, Xi-sheng Weng, Hong Zhao, Jian-xiong Shen, Yu Jiang, Ye Li, and Xiang Li   

  1. Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2011-10-13 Online:2011-12-30 Published:2011-12-30
  • Contact: ?Corresponding author Tel: 86-10-65296081, Fax: 86-10-65296081, E-mail: zhaoyupumch@hotmail.com E-mail:zhaoyupumch@hotmail.com

摘要: Objective To evaluate the efficacy and safety of low molecular weight heparin (LMWH) prophylaxis for venous thromboembolism (VTE) after lumbar decompression surgery.
Methods Patients at high or the highest risk of VTE who underwent lumbar spine surgery in Peking Union Medical College Hospital from January 2004 to April 2011 were included in the present study. All the patients received a half dose of LMWH 6 hours after surgery followed by a full dose LMWH once per day until discharge. We recorded incidences of deep venous thrombosis (DVT), pulmonary embolism (PE), bleeding complications, and medication side effects. Results Seventy-eight consecutive patients were eligible and enrolled in this study. The mean hospital stat was 8.5±4.5 days. No symptomatic DVT, PE, or major bleeding events were observed. One patient developed wound ecchymosis, another developed wound bleeding, four had mild hepatic aminotransferase level elevation, and one developed a suspicious allergic reaction.
Conclusion LMWH may be applied as an effective and safe prophylaxis for VTE in high-risk patients undergoing lumbar decompression surgery.

关键词: venous thromboembolism, prophylaxis, low molecular weight heparin, lumbar decompression surgery

Abstract: Objective To evaluate the efficacy and safety of low molecular weight heparin (LMWH) prophylaxis for venous thromboembolism (VTE) after lumbar decompression surgery.
Methods Patients at high or the highest risk of VTE who underwent lumbar spine surgery in Peking Union Medical College Hospital from January 2004 to April 2011 were included in the present study. All the patients received a half dose of LMWH 6 hours after surgery followed by a full dose LMWH once per day until discharge. We recorded incidences of deep venous thrombosis (DVT), pulmonary embolism (PE), bleeding complications, and medication side effects. Results Seventy-eight consecutive patients were eligible and enrolled in this study. The mean hospital stat was 8.5±4.5 days. No symptomatic DVT, PE, or major bleeding events were observed. One patient developed wound ecchymosis, another developed wound bleeding, four had mild hepatic aminotransferase level elevation, and one developed a suspicious allergic reaction.
Conclusion LMWH may be applied as an effective and safe prophylaxis for VTE in high-risk patients undergoing lumbar decompression surgery.

Key words: venous thromboembolism, prophylaxis, low molecular weight heparin, lumbar decompression surgery

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