Squizzato Alessandro, Venco Achille
Department of Clinical Medicine, University of Insubria, Varese, Italy.
Int J Surg. 2008;6 Suppl 1:S29-30. doi: 10.1016/j.ijsu.2008.12.020. Epub 2008 Dec 13.
Many patients undergoing day surgery are at low-risk of venous thromboembolic events. However, given that pulmonary embolism is the most common preventable cause of hospital death, the risk-benefit profile of thromboprophylaxis should be accurately balanced. In this narrative review, we will briefly discuss some topics of thromboprohylaxis in ambulatory surgical procedures: venous thromboembolic risk stratification, venous thromboembolic risk during laparoscopic surgery, use of antithrombotic drugs in case of neuraxial anesthesia/analgesia, American College of Chest Physicians recommendations for thromboprophylaxis.
许多接受日间手术的患者发生静脉血栓栓塞事件的风险较低。然而，鉴于肺栓塞是医院死亡最常见的可预防原因，应准确权衡血栓预防的风险效益比。在这篇叙述性综述中，我们将简要讨论门诊手术中血栓预防的一些主题：静脉血栓栓塞风险分层、腹腔镜手术期间的静脉血栓栓塞风险、在神经轴麻醉/镇痛情况下使用抗血栓药物、美国胸科医师学会的血栓预防建议。
