Chlumský J, Potuzník P
I. interní klinika FN Motol, Praha.
Vnitr Lek. 1996 Feb;42(2):78-81.
Thromboembolic episodes are the most frequent complication in patients with valvular defects or valvular prostheses. Introduction of anticoagulant treatment led to a marked drop of these complications, while haemorrhage became a serious problem in their care. When deciding on anticoagulant treatment it is important to evaluate not only the basic disease but also risk factors of thromboembolism in individual patients. The authors emphasize also procedures during operations, pregnancy, embolization or haemorrhage in patients treated with anticoagulants.
血栓栓塞事件是瓣膜缺损或瓣膜置换患者中最常见的并发症。抗凝治疗的引入使这些并发症显著减少,然而出血却成为了他们治疗过程中的一个严重问题。在决定进行抗凝治疗时,不仅要评估基础疾病,还要评估个体患者的血栓栓塞危险因素。作者还强调了接受抗凝治疗患者在手术、妊娠、栓塞或出血期间的注意事项。