Henley Jill, Brewer Jerry D
College of Osteopathic Medicine Glendale, Midwestern University, 13989 N59th Avenue, Glendale, AZ 85308, USA.
Dermatol Res Pract. 2013;2013:279289. doi: 10.1155/2013/279289. Epub 2013 Aug 7.
Minor postoperative bleeding is the most common complication of cutaneous surgery. Because of the commonality of this complication, hemostasis is an important concept to address when considering dermatologic procedures. Patients that have a bleeding diathesis, an inherited/acquired coagulopathy, or who are on anticoagulant/antiplatelet medications pose a greater risk for bleeding complications during the postoperative period. Knowledge of these conditions preoperatively is of the utmost importance, allowing for proper preparation and prevention. Also, it is important to be aware of the various hemostatic modalities available, including electrocoagulation, which is among the most effective and widely used techniques. Prompt recognition of hematoma formation and knowledge of postoperative wound care can prevent further complications such as wound dehiscence, infection, or skin-graft necrosis, minimizing poor outcomes.
术后轻微出血是皮肤外科手术最常见的并发症。由于这种并发症很常见，因此在考虑皮肤科手术时，止血是一个需要解决的重要概念。有出血素质、遗传性/获得性凝血病或正在服用抗凝/抗血小板药物的患者在术后发生出血并发症的风险更高。术前了解这些情况至关重要，有助于进行适当的准备和预防。此外，了解各种可用的止血方法也很重要，包括电凝，这是最有效且应用最广泛的技术之一。及时识别血肿形成并掌握术后伤口护理知识可预防进一步的并发症，如伤口裂开、感染或皮肤移植坏死，从而将不良后果降至最低。
