一例狼疮样抗凝物和抗磷脂抗体综合征患者在非体外循环下行冠状动脉旁路移植术时Hepcon系统的应用
摘要
狼疮样抗凝物（LAC）血清抗体阳性，伴或不伴抗磷脂综合征患者的心脏手术是一项特殊的挑战。其中首要的难题是如何处理狼疮样抗凝抗体对抗凝监测的干扰。本文报道了这样一例拟行冠状动脉旁路移植术（CABG）的患者，并对狼疮样抗凝物、抗磷脂综合征作了综述，以及在以往的研究基础上提出了一套在心脏手术中充分抗凝的方案。
Patients with serum lupus anticoagulant antibodies （LAC） with or without antiphospholipid syndrome who present for cardiac surgery provide a unique set of challenges. Chief among these are the interference with anficoagulafion monitoring by LAC. We present a case of such a patient who presented to us for coronary artery bypass grafting. We follow with a review of LAC and anfiphospholipid syndrome and present a strategy for ensuring adequate anticoagulation during cardiac surgery in the bad;ground of previously published reports.
出处
《麻醉与镇痛》
2011年第3期57-60,共4页
Anesthesia & Analgesia
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