Lung Neoplasms, Esophageal Neoplasms, Venous Thromboembolism
Conditions
Keywords
esophagectomy, lung resection, venous thromboembolism, low molecular weight heparin, chest drainage, TEG
Brief summary
The purpose of this study is to determine whether the use of different dose of LMWH compared with fondaparinux for thromboprophylaxis is efficacious and safety after thoracic surgery.
Interventions
2.5mg IH qd(8AM) after operation
4100AxaIU IH qd(8AM) after operation
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical diagnosis of esophageal carcinoma and planned for esophagectomy * clinical diagnosis of lung carcinoma and planned for lung resection * general anesthesia combined with epidural anesthesia
Exclusion criteria
* blood clotting disfunction before surgery * anticoagulating or antiplatelet history before surgery * low blood platelets count * hemorrhagic disease * cerebral hemorrhage * cerebral,spinal,ophthalmologic operation history * peptic ulcer * bleeding\>400ml in operation * bleeding\>100ml/h after operation * blood transfusion in or after operation * severe renal or liver disfunction * severe hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TEG values | three days after surgery | 1.5ml aterial blood sample will be obtained daily for TEG , and the vulues of TEG,such as R,K,Alpha angle,MA,G,CI ,will be measured |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bleeding quantity of chest drainage | three days after surgery | all drain from chest tube are gathered and hematocrits are measured to calculate the quantities of bleeding |
| incidence rate of deep venous thromboembolism(DVT) | after surgery up to 7 days | incidence of DVT is measured by vascular ultrasonography |
| inhospital mortality | after surgery up to 28 days | the number of death in the period of hospital stay |
Countries
China