Krieger J N, Hilgartner M W, Redo S F
Ann Surg. 1977 Mar;185(3):290-4. doi: 10.1097/00000658-197703000-00007.
Surgical procedures on patients with congenital disorders of blood coagulation can be performed with a high degree of confidence and an acceptable incidence of complications. During the period 1960-1975, 42 patients with congenital disorders of blood coagulation underwent 94 operative procedures at the New York Hopital-Cornell Medical Center. The coagulation defect was diagnosed preoperatively, in nearly all patients. Careful hematologic management, including specific factor replacement, is essential. The importance of meticulous hemostasis at surgery and careful monitoring of blood coagulation in the postoperative period is strongly emphasized.
对患有先天性凝血障碍的患者进行外科手术，可以在高度自信的情况下进行，且并发症发生率在可接受范围内。1960年至1975年期间，42例先天性凝血障碍患者在纽约医院-康奈尔医学中心接受了94次手术。几乎所有患者在术前都被诊断出凝血缺陷。精心的血液学管理，包括特定因子替代，至关重要。强烈强调手术中细致止血以及术后仔细监测凝血功能的重要性。
