中华皮肤科杂志 ›› 2023, e0220147.doi: 10.35541/cjd.20220147

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皮肤外科围手术期血栓的预防与管理

蒋佳怡,王大光   

  1. 南京医科大学第一附属医院皮肤科,南京  210029
  • 收稿日期:2022-03-07 修回日期:2023-07-12 发布日期:2023-11-21
  • 通讯作者: 王大光 E-mail:wangirwin@126.com
  • 基金资助:
    国家自然科学基金(81000703、81472896);江苏省自然科学基金(BK2009437);江苏省“六大人才高峰”C类资助项目(2015-WSW-026)

Prevention and management of thrombus during the perioperative period after dermatologic surgery

Jiang Jiayi, Wang Daguang   

  1. Department of Dermatology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2022-03-07 Revised:2023-07-12 Published:2023-11-21
  • Contact: Wang Daguang E-mail:wangirwin@126.com
  • Supported by:
    National Natural Science Foundation of China (81000703, 81472896); Natural Science Foundation of Jiangsu Province (BK2009437); Six Talent Peaks Project of Jiangsu Province (2015-WSW-026)

摘要: 【摘要】 皮肤外科部分患者可能正接受抗血栓治疗,部分患者可能因年龄、罹患皮肤肿瘤等因素导致围手术期静脉血栓栓塞症风险高,其中亦不乏大量患者因心脑血管疾病正接受抗凝、抗血小板等治疗,因此如果围手术期处理不当发生出血会影响手术预后,甚至易发生静脉血栓栓塞症或心脑血管意外事件危及生命。本文综述皮肤外科围手术期静脉血栓栓塞症预防与抗血栓药物管理相关研究。

关键词: 皮肤疾病, 外科手术, 围手术期, 静脉血栓栓塞症, 抗血栓, 抗凝

Abstract: 【Abstract】 After dermatologic surgery, some patients may have been receiving antithrombotic therapy. Some patients may have a high risk of venous thromboembolism during the perioperative period after dermatologic surgery due to their age, skin tumors, etc. Among them, many patients are receiving anticoagulation and antiplatelet therapies due to cardiovascular and cerebrovascular diseases. Therefore, if the treatment is not proper during the perioperative period, the occurrence of bleeding will affect the post-surgical prognosis, and even endanger patients′ lives by venous thromboembolism and cardiovascular or cerebrovascular accidents. This review summarizes research progress in the prevention of venous thromboembolism and the management of antithrombotic agents during the perioperative period after dermatologic surgery.

Key words: Skin diseases, Surgical procedures, operative, Perioperative period, Venous thromboembolism, Antithrombotic therapy, Anticoagulant

引用本文

蒋佳怡 王大光. 皮肤外科围手术期血栓的预防与管理[J]. 中华皮肤科杂志, 2023,e0220147. doi:10.35541/cjd.20220147

Jiang Jiayi, Wang Daguang. Prevention and management of thrombus during the perioperative period after dermatologic surgery[J]. Chinese Journal of Dermatology,2023,e0220147. doi:10.35541/cjd.20220147