About this trial
Tranexamic acid is an effective anti fibrinolytic drug. Clinical studies have found that intravenous injection of tranexamic acid is more effective in reducing blood loss and transfusion in patients with advanced ovarian cancer, without increasing the risk of postoperative complications. Different surgeries and administration routes have an impact on the pharmacokinetics and pharmacodynamics of TXA. At present, there is little data on the pharmacokinetics of intramuscular injection of TXA, and almost all of the data comes from males. For ovarian cancer patients, there are currently no reports on the pharmacokinetics of TXA through different routes of administration, such as intramuscular and intravenous administration. Therefore, the investigators chose ovarian cancer patients and administered it through different routes of intravenous and intramuscular injection.
Eligibility criteria
Qualifiers
Adult women aged 20-64 diagnosed with advanced ovarian cancer undergoing cytoreductive surgery
The cancer stage is III-IV
ASA classification II-III
Surgical duration>2 hours
Disqualifiers
Renal dysfunction (serum creatinine>200 mmol/L) or liver dysfunction (Child Turcote classification>6)
Has a history of serious mental illness or disorders, epilepsy, visual impairment
Previous or current bleeding disorders, coagulation dysfunction, or thromboembolic events
Lower limb venous thrombosis
Trial design
Treatments tested in this trial
- Tranexamic acid Intravenous Infusion
- TXA intramuscular injection