接受抗凝治疗病人围手术期药物管理方法与策略

Approach and strategy of perioperative agent administration for patients on chronic anticoagulation therapy

外科医师在临床工作中越来越多地面临围手术期血栓栓塞与出血的矛盾问题。对拟手术且正接受抗凝治疗的病人进行有效评估,围手术期制定合理替代方案,采取正确的药物管理方法与策略,谨慎评估血栓栓塞和出血风险,以指南为核心进行个体化抗凝,以保证病人围手术期安全过渡。

More and more surgeons in the clinical work is facing the contradiction between perioperative thromboembolism and bleeding problems. Patients who are undergoing surgery and anticoagulant therapy should be able to carefully evaluate the risk of thromboembolism and bleeding, and formulate reasonable alternatives, choose proper perioperative management and strategies of drug administration, ensure the safety of patients during perioperative transition, guided by the individual as the core of anticoagulation.