Doonquah Ladi, Mitchell Anika D
Faculty of Medical Sciences, University of the West Indies, Mona, Kingston 7, Jamaica.
Dent Clin North Am. 2012 Jan;56(1):25-41, vii. doi: 10.1016/j.cden.2011.06.002.
Minor oral surgical procedures make up a significant part of the daily practice of dentistry. With the increased sophistication of medical technology and medications there is increased likelihood of performing surgery on patients who are being treated for conditions that require some type of anticoagulant therapy. These patients are at an increased risk for perioperative bleeding or thrombotic complications if anticoagulation is discontinued or the dosage is adjusted. Therefore, a fine balance needs to be obtained and adequate preparation of these patients is the key to establishing this balance. This article reviews suggested approaches to the management of such patients.
小型口腔外科手术在牙科日常诊疗中占很大一部分。随着医疗技术和药物的日益复杂，对正在接受某种抗凝治疗的患者进行手术的可能性增加。如果停用抗凝药或调整剂量，这些患者围手术期出血或血栓形成并发症的风险会增加。因此，需要取得良好的平衡，对这些患者进行充分的准备是建立这种平衡的关键。本文综述了针对此类患者管理的建议方法。
