中国实用外科杂志

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肝硬化病人围手术期出血与血栓风险管理

刘连新孟凡征   

  1. 哈尔滨医科大学附属第一医院肝脏外科,黑龙江哈尔滨150001
  • 出版日期:2017-02-01 发布日期:2017-01-24

  • Online:2017-02-01 Published:2017-01-24

摘要:

肝硬化病人由于受多种因素如血液成分改变、感染、机体自身“高凝”状态、血清白蛋白降低、手术类型等影响,围手术期易合并出血、门静脉血栓、静脉血栓栓塞综合征等并发症。外科医生应综合评估病人病情,针对性地改善易引起出血及血栓形成的不利因素,选择个体化手术治疗方案并精细操作,做好围手术期预防出血及血栓形成工作,保护病人生命安全。

关键词: 肝硬化, 围手术期, 出血, 血栓, 静脉血栓栓塞综合征, 门静脉血栓

Abstract:

Management of the risk of bleeding and thrombosis in perioperative patients with liver cirrhosis        LIU Lian-xin, MENG Fan-zheng. Department of Hepatic Surgery,First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
Corresponding author: LIU Lian-xin, E-mail: liulianxin@
medmail.com.cn
Abstract    Patients with liver cirrhosis are affected by many factors, such as the change of blood components, infection, the body's hypercoagulable state, decreased serum albumin, type of surgery, which contributes to developing the perioperative complications of bleeding, portal vein thrombosis(PVT), and venous thromboembolism(VTE). Surgeons should comprehensively assess the patients' condition, devote to improve the disadvantage factors and conduct the individual surgical plan delicately. Furthermore,the perioperative prevention of bleeding and thrombosis should be carefully performed to protect the patient safety.

Key words: cirrhosis, perioperative period, bleeding, thrombosis, venous thromboembolism, portal vein thrombosis