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TEV - profilassi e terapia - Facolta' di Medicina e Chirurgia - Chieti

TEV - profilassi e terapia - Facolta' di Medicina e Chirurgia - Chieti

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Terapia<br />

Approccio standard<br />

ENF 5.000-10.000 U e.v. (bolo) infusione continua<br />

EBPM s.c.<br />

1.250 U/h (PTT 60-80”)<br />

• Columbus Investigators<br />

Investigators. Low Low-molecular molecular-weight weight heparin in the treatment of patients with<br />

venous thromboembolism<br />

thromboembolism. N Engl J Med 1997 1997;337 337:657 657<br />

• Simmoneau G et al al. A comparison of low low-molecular molecular-weight weight heparin with unfractionated<br />

heparin for acute pulmonary embolism embolism. N Engl J Med 1997 1997;337 337:663 663<br />

• Merli G et al al. Subcutaneous enoxaparin once or twice daily compared with intravenous<br />

unfractionated heparin for treatment of venous thromboembolic <strong>di</strong>sease <strong>di</strong>sease. Ann Intern Med<br />

2001 2001;134 134:191 191<br />

• Bred<strong>di</strong>n HK et al al. Effects of a low low-molecular molecular-weight weight heparin on thrombus regression and<br />

recurrent thromboembolism in patients with deep deep-vein vein thrombosis<br />

thrombosis. N Engl J Med<br />

2001 2001;344 344:626 626

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