E. Erdem et H. Uncu, ADMINISTRATION OF HEPARIN BY CONTINUOUS INTRAVENOUS-INFUSION IN THE TREATMENT OF DEEP VENOUS THROMBOSIS, Vascular surgery, 28(3), 1994, pp. 177-183
In this prospective study the authors compared two approaches to hepar
in therapy, in the treatment of deep venous thrombosis-continuous infu
sion heparin and intermittent heparin therapy. Each group was comparab
le with respect to age, gender, risk factors, and etiologic factors. T
he continuous infusion group (n=60) received a heparin bolus of 150 U/
kg followed by continuous intravenous infusion of 750 U/kg/twenty-four
hours. The intermittent group (n=60) received a bolus of 5000 U in ev
ery four hour period. In the infusion therapy group, the resolution of
clinical symptoms was more rapid, so the hospitalization time was sho
rter, and the hemorrhagic complications and relapses were fewer than w
ith intermittent therapy. The authors conclude that administration of
heparin by continuous infusion appears to be effective and safer than
intermittent injection therapy.