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Article
October 1942

ADMINISTRATION OF DICOUMARIN COMPOUND FOR PROPHYLAXIS OF POSTOPERATIVE THROMBOSIS AND EMBOLISMA PRELIMINARY REPORT

Author Affiliations

BUFFALO
From the Department of Surgery, University of Buffalo School of Medicine, and the Surgical Service of the Edward J. Meyer Memorial Hospital.

Arch Surg. 1942;45(4):551-553. doi:10.1001/archsurg.1942.01220040047005
Abstract

The practical value of the use of an agent to prolong the clotting time of the blood in the prophylaxis and treatment of thromboembolic disease has been amply demonstrated. Administration of an anticoagulant, such as heparin, has been found to be safe for operative patients immediately after1 or even before operation.2 Heparin has reduced the expected occurrence of thrombosis and embolism in operative patients.1 It has served well in the management of patients with nonfatal pulmonary embolism.1 It has materially reduced the morbidity rate associated with thrombophlebitis.1 The principles of its use have been established. But two factors, the expense and the comparative difficulty of administration, have tempered the enthusiasm for heparin and prevented its acceptance as a measure available to all. For this reason the results of the use of another anticoagulant, dicoumarin compound, 3,3′-methylenebis-4-hydroxycoumarin,3 have been studied in order to explore its

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