冠脉支架病人的围术期处理

Perioperative management of patients with coronary artery stent

经皮冠状动脉介入治疗是冠心病的有效治疗手段。近来的研究表明术前冠脉介入治疗对于非心脏手术病人（特别是植入了冠脉支架的病人）的预后可能有不良影响，主要的风险在于严重的出血以及支架内血栓形成。术前对病人的详尽评价以及围术期最佳化处理可以改善这类病人预后。

Percutaneous coronary intervention （PCI） is an effective therapy for patients with coronary artery disease. However, its potential impact on perioperative patients should be considered. Recent researches have showed that preoperative PCI may have adverse impact on the outcomes of patients undergoing noncardiac surgery, especially for those who have been implanted coronary stents. Severe hemorrhage and thrombosis in the stents are two major risks for those patients. Careful preoperative evaluation and optimal perioperative management may improve their outcomes.