Shaulian E, Shoenfeld Y, Berliner S, Shaklai M, Pinkhas J
Int Surg. 1981 Apr-Jun;66(2):157-9.
Twelve surgical procedures were performed in eight patients with circulating lupus anticoagulant. Bleeding complications were noted intra and postoperatively in three patients, either with an associated hypoprothrombinemia and/or thrombocytopenia. Five patients in whom only circulating lupus anticoagulant was found had an uneventful intra and postoperative course. It is concluded that the presence of lupus anticoagulant, when unassociated with other hemostatic defects, is not a contraindication for surgery.
对8名患有循环狼疮抗凝物的患者实施了12例外科手术。3例患者在术中及术后出现出血并发症,这些患者同时伴有低凝血酶原血症和/或血小板减少症。另外5例仅发现循环狼疮抗凝物的患者,术中和术后过程均顺利。得出的结论是,狼疮抗凝物若不伴有其他止血缺陷,并非手术禁忌证。