Eichhorn Wolfgang, Kluwe Lan, Heiland Max, Gröbe Alexander
Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
Br J Oral Maxillofac Surg. 2014 Jul;52(6):527-9. doi: 10.1016/j.bjoms.2014.02.020. Epub 2014 Apr 2.
Cutaneous surgery in the head and neck carries an intermediate risk of bleeding, so many surgeons stop anticoagulant treatment perioperatively despite the risk of cardiovascular events. We reviewed many procedures done in patients who were taking aspirin, and we did not find evidence of significantly increased postoperative bleeding compared with procedures in patients who were not taking aspirin (10/259=4% compared with 6/209=3%, p=0.6). Our results suggest that cutaneous surgery in the head and neck is safe for patients taking aspirin.
头颈部的皮肤外科手术有中等出血风险，因此尽管存在心血管事件风险，许多外科医生仍在围手术期停止抗凝治疗。我们回顾了许多接受阿司匹林治疗患者所做的手术，与未服用阿司匹林患者的手术相比，我们没有发现术后出血显著增加的证据（10/259 = 4%，而6/209 = 3%，p = 0.6）。我们的结果表明，头颈部皮肤外科手术对服用阿司匹林的患者是安全的。
