O'Donnell Martin, Kearon Clive
McMaster University and Henderson Research Centre, 711 Concession Street, Hamilton, ON L8V 1C3, Canada.
Cardiol Clin. 2008 May;26(2):299-309, viii. doi: 10.1016/j.ccl.2007.12.012.
Based on an individual assessment of risk factors for arterial or venous thrombosis and the risk of postoperative bleeding, this article outlines the preoperative and postoperative approach to anticoagulant management. Preceding this is a brief description of the therapies most commonly used in the perioperative period. The prevention of arterial thromboembolism is considered separately from the prevention of venous thrombosis. Perioperative management of anticoagulation can cause anxiety for patients, surgeons, anesthetists, and those who manage long-term anticoagulant therapy. Good communication between all of these parties is essential to ensure that an optimal management strategy is identified and executed.
基于对动脉或静脉血栓形成风险因素以及术后出血风险的个体评估，本文概述了术前和术后抗凝管理方法。在此之前，简要介绍围手术期最常用的治疗方法。动脉血栓栓塞的预防与静脉血栓形成的预防分开考虑。围手术期抗凝管理可能会使患者、外科医生、麻醉师以及长期进行抗凝治疗管理的人员感到焦虑。所有这些人员之间的良好沟通对于确保确定并执行最佳管理策略至关重要。
