非心脏手术患者围手术期抗血小板药物的使用

被引：14

作者：

郁正亚

机构：

[1] 首都医科大学附属北京同仁医院血管外科

来源：

中华临床医师杂志(电子版) | 2011年 / 5卷 / 05期

关键词：

抗血小板药物; 阿司匹林; 出血风险; 乙酰水杨酸; 围手术期; 支架内血栓形成; 患者; 心脏外科手术; 心脏手术; 噻氯吡啶类; 双联抗血小板治疗; 氯吡格雷;

D O I：

暂无

中图分类号：

R619 [手术前后的处理及外科并发症]; R96 [药理学];

学科分类号：

100602 ; 100706 ;

摘要：

<正>抗血小板药物被广泛用于心血管疾病的一级和二级预防,特别是经皮冠状动脉介入治疗(PCI)和急性冠状动脉综合征(ACS)。其他适应证包括非心源性缺血性卒中的二级预防、周围动脉闭塞性疾病的治疗等。据统计90%的PCI患者需要放置冠状动脉支架,世界范围内每年植入支架数量超过400万枚[1]。为防止早期支架内血栓形成,所有植入支架的患者在规定的时间内均应接受双联抗血小板治疗。

引用

页码：1371 / 1375

页数：5

共 12 条

[1] Randomized Controlled Trial of Dual Antiplatelet Therapy in Patients Undergoing Surgery for Critical Limb Ischemia [J].

Burdess, Anne ;

Nimmo, Alastair F. ;

Garden, O. James ;

Murie, John A. ;

Dawson, A. Raymond W. ;

Fox, Keith A. A. ;

Newby, David E. .

ANNALS OF SURGERY, 2010, 252 (01) :37-42

[2]

Bleeding Complications With Dual Antiplatelet Therapy Among Patients With Stable Vascular Disease or Risk Factors for Vascular Disease: Results From the Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management, and Avoidance （CHARISMA） Trial[J] . Peter B. Berger,Deepak L. Bhatt,Valentin Fuster,P. Gabriel Steg,Keith A.A. Fox,Mingyuan Shao,Danielle M. Brennan,Werner Hacke,Gilles Montalescot,Steven R. Steinhubl,Eric J. Topol.Circulation . 2010 (23)

[3] Perioperative management of antiplatelet agents in noncardiac surgery [J].

Llau, Juan V. ;

Lopez-Forte, Crisfina ;

Sapena, Luisa ;

Ferrandis, Raquel .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2009, 26 (03) :181-187

[4]

How to manage patients with need for antiplatelet therapy in the setting of （un-）planned surgery[J] . Clinical Research in Cardiology . 2008 (1)

[5]

Coronary Artery Stents: II. Perioperative Considerations and Management[J] . Lisa T. Newsome,Robert S. Weller,J C. Gerancher,Michael A. Kutcher,Roger L. Royster.Anesthesia ＆ Analgesia . 2008 (2)

[6]

ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines （Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery）[J] . Lee A. Fleisher,Joshua A. Beckman,Kenneth A. Brown,Hugh Calkins,Elliot L. Chaikof,Kirsten E. Fleischmann,William K. Freeman,James B. Froehlich,Edward K. Kasper,Judy R. Ker

[7] Perioperative use of anti-platelet drugs [J].

Chassot, Pierre-Guy ;

Delabays, Alain ;

Spahn, Donat R. .

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2007, 21 (02) :241-256

[8]

Prevention of Premature Discontinuation of Dual Antiplatelet Therapy in Patients With Coronary Artery Stents: A Science Advisory From the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, With Representation From the American College of Physicians[J] . Cindy L. Grines,Robert O. Bonow,Donald E. Casey,Timothy J. Gardner,Peter B. Lockhart,David J. Moliterno,Patrick O’Ga

[9]

Benefits and Risks of the Combination of Clopidogrel and Aspirin in Patients Undergoing Surgical Revascularization for Non–ST-Elevation Acute Coronary Syndrome: The Clopidogrel in Unstable angina to prevent Recurrent ischemic Events （CURE） Trial[J] . Keith A.A. Fox,Shamir R. Mehta,Ron Peters,Feng Zhao,Nasser Lakkis,Bernard J. Gersh,Salim Yusuf.Circulation . 2004 (10)

[10]

Regional anesthesia in the anticoagulated patient: Defining the risks （the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation）[J] . Terese T. Horlocker,Denise J. Wedel,Honorio Benzon,David L. Brown,F.Kayser Enneking,John A. Heit,Michael F. Mulroy,Richard W. Rosenquist,John Rowlingson,Michael Tryba,Chun-Su Yuan.Regional Anesthesia and Pain Medicine . 2003 (3)

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