Jacobs L G, Nusbaum N
Unified Division of Geriatric Medicine, Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Clin Geriatr Med. 2001 Feb;17(1):189-202, ix. doi: 10.1016/s0749-0690(05)70114-2.
Patients of advanced age commonly undergo invasive procedures and surgery. With the number of elderly individuals being treated with long-term anticoagulant therapy growing annually, it is not uncommon that surgery is contemplated for older adults on long-term anticoagulant therapy. This article focuses on the management of elderly patients who are on long-term anticoagulant therapy, principally with warfarin, who must undergo invasive procedures. Although no consensus has been reached regarding the perioperative management of patients on long-term anticoagulation therapy, this discussion presents the current status and some recommendations for practice.
高龄患者通常需要接受侵入性操作和手术。随着接受长期抗凝治疗的老年人数量逐年增加，考虑为正在接受长期抗凝治疗的老年人进行手术的情况并不罕见。本文重点关注正在接受长期抗凝治疗（主要是使用华法林）且必须接受侵入性操作的老年患者的管理。尽管对于长期抗凝治疗患者的围手术期管理尚未达成共识，但本讨论介绍了当前的状况并提出了一些实践建议。
