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口腔颌面外科医师术前检查申请的标准。

Criteria for the request of preoperative tests among oral and maxillofacial surgeons.

机构信息

Department of Dentistry, Universidade Federal de Sergipe, Aracaju, SE, Brazil.

出版信息

J Craniomaxillofac Surg. 2012 Oct;40(7):604-7. doi: 10.1016/j.jcms.2011.10.019. Epub 2011 Nov 12.

Abstract

OBJECTIVE

The aim of this study was to analyze the criteria employed for the requesting of preoperative tests among maxillofacial surgeons.

MATERIALS AND METHODS

Thirty maxillofacial surgeons working in Aracaju (Brazil) received a questionnaire to fill out. The study inquired about the practice of requesting preoperative tests for healthy patients scheduled to undergo elective surgery.

RESULTS

Most of the surgeons interviewed requested tests that are not recommended for the case in question. The highest frequency of requests was a complete blood count, coagulation test, blood glucose test and chest radiograph.

CONCLUSION

The absence of strict rules for the requesting of preoperative tests causes uncertainty and a lack of criteria regarding pre-surgical conduct. It was not possible to clearly define the criteria used by surgeons for requesting such tests, as the clinical characteristics of the hypothetical case presented suggest a smaller number of tests.

摘要

目的

本研究旨在分析颌面外科医生术前检查申请标准。

材料与方法

30 名在阿拉卡茹(巴西)工作的颌面外科医生收到了一份调查问卷。研究调查了为计划择期手术的健康患者申请术前检查的情况。

结果

大多数接受采访的外科医生都要求进行与具体情况不符的检查。请求最多的检查是全血细胞计数、凝血试验、血糖检查和胸部 X 光检查。

结论

术前检查申请缺乏严格的规定,导致术前操作不确定,也缺乏标准。由于所提出的假设病例的临床特征表明需要进行较少的检查,因此无法清楚地定义外科医生申请这些检查的标准。

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