口服抗凝剂的妇科手术患者围手术期管理

Perioperative Management in Gynecological Patients Receiving Oral Anticoagulation Therapy

口服抗凝剂可造成妇女的月经量增多及凝血系统发生改变,加之妇科患者及妇科手术独有的特点,妇科手术患者围手术期抗凝管理是个重要的临床难题。口服抗凝剂的患者如进行手术,将面临着出血及血栓形成的风险,医生既要考虑手术前后可能出现的出血情况,又要避免因暂时停用抗凝药物而发生血栓栓塞的危险,此类患者手术成功的关键是抗凝剂的使用情况及手术时间的选择。因此,妇科手术患者的术前评估及术中、术后管理具有重要的临床意义。综述低分子肝素作为桥梁的围手术抗凝方法在妇科临床工作中的应用。

Oral anticoagulation medicine may cause women with heavy menstrual bleeding and changing their blood system,and with the characteristics of gynecology and gynecological surgery,it is a difficult clinical problem in gynecological surgery.When there is an operation,the doctor should balance individual risk for thromboembolism and bleeding. How to use anticoagulator and to select proper time is crucial to successful. Therefore,it is important and clinical significance in preoperative evaluation and perioperative management in gynecological surgery. This article discussed the application of the anticoagulant therapy in the gynecological clinical treatment.