中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (02): 88-90.
• 专家笔谈 • 上一篇 下一篇
楼文晖
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摘要:
凝血机制障碍是手术安全的主要威胁之一。术前病人凝血机制的评估非常重要。术前凝血机制障碍有先天性和获得性二大类;前者主要是A和B型血友病,后者包括维生素K缺乏、使用抗凝药物、肝功能异常、肾功能异常、血小板减少及功能障碍、低体温。无论对哪类凝血机制障碍,对于平诊手术,力求在凝血机制障碍得到纠正后再手术,以确保手术安全;对于急诊手术,需通过积极应急治疗,尽可能改善凝血机制,减少术中出血。
关键词: 凝血机制障碍, 手术时机
Abstract:
Common causes of preoperative coagulation disorders and choice of optimal operation time LOU Wen-hui. Department of Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032,China Abstract Coagulation disorders are main threats to safe operation. Thorough preoperative coagulation evaluation is crucial. Generally, coagulation disorders fall into two categories: congential and acquired coagulopathy. Hemopilia A and B belong to the former category. The acquired coagulopathy includes vitamin K deficiency, intake of anticoagulant drugs, hepatic failure, renal failure, thrombocytopenia and thrombocytopathy, hypothermia etc. For selective operation, it is better to perform after coagulation disorders are rectified to ensure the patient safey. In emergency cases, active treatment should be taken to restore coagulation as possible as it can.
Key words: dysfunction of blood coagulation, surgical time
楼文晖. 术前凝血机制障碍的常见原因及手术时机选择[J]. 中国实用外科杂志, 2010, 30(02): 88-90.
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