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阿司匹林与牙科出血:最新情况及建议

Aspirin and bleeding in dentistry: an update and recommendations.

作者信息

Brennan Michael T, Wynn Richard L, Miller Craig S

机构信息

Oral Medicine Residency Director, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Sep;104(3):316-23. doi: 10.1016/j.tripleo.2007.03.003. Epub 2007 Jul 6.

Abstract

Aspirin use in the United States remains high because of its diverse and beneficial activities. In adults at risk for cardiovascular thrombotic events, low-dose aspirin is an excellent preventive agent; however, its antiplatelet properties have contributed to a perceived increased risk for bleeding after dental extractions. This article discusses recent evidence regarding the thrombotic risks associated with discontinuing aspirin use in patients who take aspirin daily and presents a new recommendation for continuing low-dose aspirin during invasive dental procedures.

摘要

由于阿司匹林具有多种有益作用,其在美国的使用量仍然很高。在有心血管血栓形成事件风险的成年人中,低剂量阿司匹林是一种出色的预防药物;然而,其抗血小板特性导致人们认为拔牙后出血风险增加。本文讨论了有关在每日服用阿司匹林的患者中停用阿司匹林相关血栓形成风险的最新证据,并提出了在侵入性牙科手术期间继续使用低剂量阿司匹林的新建议。

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