在退伍军人中选择手术和抗血栓使用
Loretta Coady-Fariborzian1,2, Peter Vonu2, Christy Anstead1
1Malcom Randall Veterans Affairs Medical Center, Gainesville, Florida.
概括
选择手术时继续服用抗凝剂是安全的. 这项研究发现出血并发症的发生率很低,表明患者可以安全地继续服用血液稀释剂.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 老年医学 老年医学
背景情况:
- 传统上,在整形手术前停止服用抗凝血剂和抗血小板药物,以防止出血.
- 退伍军人经常需要抗凝剂来预防临界栓塞和血栓事件.
- 实践中的转变允许选择性手术患者在外科手术期间继续服用抗凝剂.
研究的目的:
- 为了评估在选择性手术期间继续服用处方抗凝剂的患者的术后出血并发症率.
- 在这个患者群体中,在7.5年的时间内评估维持抗凝剂的安全性.
主要方法:
- 马尔科姆·兰德尔退伍军人事务医疗中心 (马尔科姆·兰德尔退伍军人事务医疗中心) 的健康记录的回顾性审查 (2015年1月至2022年6月).
- 选择性手术病例的识别,包括手掌道减压,触发指释放等.
- 分析30天内使用抗凝剂和术后出血并发症的患者记录.
主要成果:
- 178名患者在选手手术期间继续服用抗凝剂.
- 一个主要的出血并发症 (0.6%) 需要重新手术 (用克洛皮多格雷尔和阿司匹林释放阴茎道).
- 四个轻微的出血并发症 (2.2%) 被保守地管理.
结论:
- 在手术期间继续服用抗凝剂和抗血小板药物,用于选择性手术是一种安全的做法.
- 与继续服用这些药物相关的局部并发症率是可以接受的低.
- 这种方法支持通过避免不必要的药物停用来改善患者护理.
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