Abstract
The indices of coagulometry and thromboelastography (THEG) were determined in 60 patients, suffering various forms of an acute cholecystitis. Preoperatively the coagulometry indices have had a hypercoagulation tendency while the disease severity enhances. After performance of laparoscopic cholecystectomy the most essential changes of indices were observed. In the patients after severe operation there was observed accelerated kinetics of the blood clotting, witnessed by the THEG indices. The risk of the hemorrhage occurrence restricts application of medicinal thromboprophylaxis.
MeSH terms
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Adult
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Aged
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Anticoagulants / administration & dosage*
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Anticoagulants / adverse effects
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Cholecystectomy, Laparoscopic*
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Cholecystitis, Acute / blood*
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Cholecystitis, Acute / pathology
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Cholecystitis, Acute / surgery
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Female
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Gallbladder / blood supply
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Gallbladder / pathology
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Gallbladder / surgery
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Gastrointestinal Hemorrhage / etiology
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Gastrointestinal Hemorrhage / pathology
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Gastrointestinal Hemorrhage / prevention & control
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Humans
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Length of Stay
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Male
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Middle Aged
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Risk Factors
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Thrombelastography
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Thrombosis / blood*
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Thrombosis / drug therapy
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Thrombosis / pathology
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Treatment Outcome