RESUMO
Prostatic surgery is often accompanied with increased intra- and postoperative bleeding which is caused, among other reasons, by enhancement of general and local fibrinolysis due to mechanical impact on prostatic tissue in operation. We proposed to inhibit enhanced fibrinolysis with preparation of tranexamic acid tranexam and tried it in 53 patients with prostatic adenoma undergoing transurethral prostatic resection (TUR). The comparison of bleeding severity in surgery with and without tranexam administration before, in and early after prostatic TUR showed that tranexam significantly lowers blood loss.
Assuntos
Antifibrinolíticos/administração & dosagem , Hemorragia Pós-Operatória/prevenção & controle , Hiperplasia Prostática/cirurgia , Ácido Tranexâmico/administração & dosagem , Ressecção Transuretral da Próstata , Idoso , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Dynamic function of thrombocytes was studied in 75 cases of renal cancer. Enhanced thrombocytic hemostasis registered in patients with stage I-II tumor was matched by a low-level thrombocytic function with concomitant thrombocythemia at stages III-IV. These findings may be useful in prevention and treatment of thrombohemorrhagic complications in renal cancer.