普外科术后常规抗凝治疗必要性探讨

Evidence-based management of anticoagulant therapy for general surgical patients

普外科手术后是否应该常规使用药物抗凝治疗,至今仍存在较多争议,尽管术后常规抗凝方面的文献仍不少,但实际临床中,术后很少在未提示出现梗塞的情况下常规抗凝治疗。本文将对普通外科是否应该术后常规使用药物进行抗凝治疗进行探讨。

Whether the general surgical patients should receive postoperative routine anticoagulation therapy is still more controversial, although it is suggested and discussed in many literatures because there is a risk of postoperative thromboembolism. But less general surgeon accept into the actual clinical practice until there is evidence of prompt infarction. Then this article will review the evidencebased management of anticoagulant therapy and discuss the anticoagulation-related management problems.