Giant haemangiomas combined with a haemostasis disorder of the Kasabach-Meritt type are rare and even more rare are the problems posed during labour when vulvo-vagino-uterine sites are involved. Two cases are reported. After summary of the clinical and biochemical studies, the authors report attempts to improve the haemostasis disorder, first with heparin and then with antifibrinolytic preparations, and to improve the angiomas with antifibrinolytic preparations in the hope of stimulating intrasacular thrombosis. In particular, the obstetric and surgical problems are discussed in the context of labour. In one case the outcome of labour was successful only moderate transfusion being required, and in the other the outcome was fatal despite the use of about 100 bottles of blood in the first 24 hours. In both cases the infants were normal.

Adult↗

PubMedDate not supplied

[Anti-K vitamins].

Antivitamins K remain the anticoagulant of choice when treatment lasts several days, because they can be ingested orally, and they require relatively in frequent laboratory tests, and because of the absence of any superior haematological treatments for thrombosis. Physiological studies have explained the effects on the anticoagulant action of the antivitamins K, of imbalance of the intestinal microbial flora and of pathological changes in diuresis. This knowledge is indispensable for national treatment. Surveillance by means of laboratory tests remains indispensable but continues to pose practical problems, as non-specialized biologists have difficulty in achieving the necessary basic conditions (quality of venous puncture, control and test...). Determination of the Quick time remains the most practical method. Laboratory determination of the different constituents of the prothrombin complex makes it possible to regulate perfectly the treatment with antivitamins K of a patient who is also receiving heparin.

Anticoagulants↗

PubMedDate not supplied

[Medical treatment of deep phlebitis of the leg (excluding post-phlebitic disease). Introduction].

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Humans↗