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心脏手术患者的血小板抑制剂与出血

Platelet inhibitors and bleeding in cardiac surgical patients.

作者信息

Levy J H

机构信息

Department of Anesthesiology, Emory University School of Medicine, and Division of Cardiothoracic Anesthesiology, Emory Healthcare, Atlanta, Georgia 30322, USA.

出版信息

Ann Thorac Surg. 2000 Aug;70(2 Suppl):S9-11. doi: 10.1016/s0003-4975(00)01603-9.

DOI:10.1016/s0003-4975(00)01603-9
PMID:10966005
Abstract

A variety of measures may affect bleeding and transfusion requirements in abciximab-treated patients. These measures include recognition of the risk factors for increased bleeding and transfusion requirements, use of proper transfusion practices, conservation or increasing of red cell mass, appropriate heparin dosing and protamine reversal, reversal of anticoagulation, awareness of factors that affect activated clotting time (ACT), and appropriate anticoagulation for cardiopulmonary bypass.

摘要

多种措施可能会影响使用阿昔单抗治疗的患者的出血情况及输血需求。这些措施包括识别出血及输血需求增加的风险因素、采用恰当的输血操作、保存或增加红细胞量、适当的肝素给药及鱼精蛋白中和、抗凝逆转、了解影响活化凝血时间(ACT)的因素以及体外循环时的适当抗凝。

相似文献

1
Platelet inhibitors and bleeding in cardiac surgical patients.心脏手术患者的血小板抑制剂与出血
Ann Thorac Surg. 2000 Aug;70(2 Suppl):S9-11. doi: 10.1016/s0003-4975(00)01603-9.
2
Current status of cardiac surgery in the abciximab-treated patient.使用阿昔单抗治疗的患者心脏手术的当前状况。
Ann Thorac Surg. 2000 Aug;70(2 Suppl):S12-9. doi: 10.1016/s0003-4975(00)01602-7.
3
Blood coagulation and autologous blood transfusion in cardiac surgery.心脏手术中的血液凝固与自体输血
J Clin Anesth. 1990 Nov-Dec;2(6):393-406. doi: 10.1016/0952-8180(90)90026-y.
4
Anticoagulant and side-effects of protamine in cardiac surgery: a narrative review.心脏手术中抗凝剂与鱼精蛋白的副作用:一篇叙述性综述。
Br J Anaesth. 2018 May;120(5):914-927. doi: 10.1016/j.bja.2018.01.023. Epub 2018 Feb 26.
5
Heparinase thromboelastography compared with activated coagulation time for protamine titration after cardiopulmonary bypass.心肺转流术后肝素酶血栓弹力图与活化凝血时间用于鱼精蛋白滴定的比较
J Cardiothorac Vasc Anesth. 2014 Apr;28(2):224-9. doi: 10.1053/j.jvca.2013.10.026. Epub 2014 Jan 23.
6
An Adjusted Calculation Model Allows for Reduced Protamine Doses without Increasing Blood Loss in Cardiac Surgery.一种调整后的计算模型可在不增加心脏手术失血的情况下减少鱼精蛋白剂量。
Thorac Cardiovasc Surg. 2016 Sep;64(6):487-93. doi: 10.1055/s-0035-1558649. Epub 2015 Aug 13.
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The impact of heparin concentration and activated clotting time monitoring on blood conservation. A prospective, randomized evaluation in patients undergoing cardiac operation.肝素浓度及活化凝血时间监测对血液保护的影响。一项针对心脏手术患者的前瞻性随机评估。
J Thorac Cardiovasc Surg. 1995 Jul;110(1):46-54. doi: 10.1016/S0022-5223(05)80008-X.
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Effect of high or low protamine dosing on postoperative bleeding following heparin anticoagulation in cardiac surgery. A randomised clinical trial.心脏手术中肝素抗凝后高或低鱼精蛋白剂量对术后出血的影响。一项随机临床试验。
Thromb Haemost. 2016 Aug 1;116(2):251-61. doi: 10.1160/TH16-02-0117. Epub 2016 Jun 9.
9
Use of activated coagulation time to monitor heparin during cardiac surgery.在心脏手术期间使用活化凝血时间监测肝素。
Ann Thorac Surg. 1979 Jul;28(1):69-72. doi: 10.1016/s0003-4975(10)63396-6.
10
Heparin and protamine titration do not improve haemostasis in cardiac surgical patients.肝素和鱼精蛋白滴定法不能改善心脏手术患者的止血情况。
Can J Anaesth. 1998 Jan;45(1):10-8. doi: 10.1007/BF03011985.

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