Cobos E, Cruz J C, Day M
Texas Tech University Health Sciences Center, Departments of Medicine and Anesthesia, 3601 4th Street, Room 1C282, Lubbock, TX 79430, USA.
Curr Rev Pain. 2000;4(5):413-9. doi: 10.1007/s11916-000-0026-2.
Coagulation abnormalities and bleeding disorders are frequently encountered in patients undergoing invasive procedures. These are of particular importance in the pain management setting where even small amounts of excessive bleeding can result in devastating complications. It is imperative that physicians treating those patients under-stand the basic concepts of coagulation and be able to identify and manage the common bleeding disorders. This article provides a brief overview of the coagulation system and describes the use of appropriate screening tests and management strategies to limit bleeding in pain management procedures.
凝血异常和出血性疾病在接受侵入性操作的患者中经常出现。在疼痛管理环境中,这些情况尤为重要,因为即使少量的过度出血也可能导致灾难性的并发症。治疗这些患者的医生必须了解凝血的基本概念,并能够识别和管理常见的出血性疾病。本文简要概述了凝血系统,并描述了使用适当的筛查试验和管理策略来减少疼痛管理操作中的出血。