In recent three years,three cases of the acute primary iliac vein throm-bosis formed within 72 hours were admitted to our surgical ward.For the first case,the heparin anticoagulant was used postoperatively and with the aid of antiagglutinating drugs such as dextrane,aspirine and persantine.The patient left an unperfect function of the leg vein.For the second case,besides the anticoagulant and the antiagglutinating treament,urokinase was used after
the urgent thrombectomy to dissolve the thrombus.The function of the leg vein remains good.For the third case,we only used the urokinase to dissolve the thrombus associated with the antiagglutinating drugs.The function of the leg veins remains sufficient too.we agree to the proposal that for the primary iliac vein thrombosis formed within 48 hours,the principal method of treament is thrombectomy accmpanied with anticoagulant and antiagglutinati ng
therapy;or if the thrombosis was formed within 72 hours,the fibrinolytic therapy with urokinase to dissolve the thrombus should be used.But if the thrombosis have formed for more than a week,the only method could be used is anticoagulant treament and functioning insufficiency of the leg veins nearly always remains ssubsequently.However,early diagnosis and the most favourable treament in time were emphasized.
Journal of Jinan University(Natural Science & Medicine Edition)
Anticoagulant Antiagglutinating therapy