Wollert H G, Taha M, Panzner R
Klinik und Poliklinik für Chirurgie, Martin-Luther-Universität Halle-Wittenberg.
Zentralbl Chir. 1988;113(9):586-91.
Studies were conducted into indications, courses of operations, and postoperative complications of 17 surgical patients hospitalised or treated in the outpatient department who were on anticoagulant medication because of previous cardiac surgery and required acute re-operations for manifestations of secondary surgical diseases. Particular attention was given to Quick values for an assessment of the present coagulation situations. The point is made that Quick values between 25 and 30 per cent do not yet constitute contraindications to surgical intervention. Reservation is recommended with values below 20 per cent. Therapeutic recommendations are given for treatment of surgical patients with low Quick values.
对17例因既往心脏手术而服用抗凝药物且因继发性外科疾病表现需要进行急性再次手术的住院或门诊治疗的外科患者的手术指征、手术过程及术后并发症进行了研究。特别关注用于评估当前凝血状况的奎克值。指出奎克值在25%至30%之间尚不构成手术干预的禁忌证。建议奎克值低于20%时要谨慎。针对奎克值低的外科患者给出了治疗建议。
