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抗凝药物治疗的患者合并上尿路结石的处理

Management of the upper urinary tract calculi in patients on antiplatelet/anticoagulant therapy
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摘要 抗凝药的使用在一般人群明显增加,这促使外科医生在给长期抗凝治疗的患者手术时需要考虑血栓和出血的风险。对于服用抗凝药物合并上尿路结石的处理尤其比较棘手。本文回顾了服用抗凝药物治疗的患者合并尿路结石处理的文献。同时汇报了北京积水潭医院采用三步法经皮肾镜处理血栓栓塞高危风险长期服用抗凝和抗血小板药物合并上尿路结石的经验。 Use of chronic anticoagulation has increased recently, leading to more surgical intervention on patients taking chronic anticoagulation. This review discusses anticoagulation and the management of urolithiasis. In this study, we would like to report our experience of performing three-step PCNLs. We identified and reviewed 3 patients under antiplatelet/anticoagulant agent therapy performed in a single institute.
出处 《中华临床医师杂志(电子版)》 CAS 2015年第15期5-7,共3页 Chinese Journal of Clinicians(Electronic Edition)
关键词 尿路结石 肾造口术 经皮 碎石术 输尿管镜检查 抗凝治疗 Urinary calculi Nephrostomy,percutaneous Lithotripsy Ureteroscopy Anticoagulation
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参考文献17

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