肝硬化病人围手术期出血与血栓风险管理  

Management of the risk of bleeding and thrombosis in perioperative patients with liver cirrhosis

作　　者：刘连新[1] 孟凡征[1] LIU Lian-xin MENG Fan-zheng(Department of Hepatic Surgery, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China)

机构地区：[1]哈尔滨医科大学附属第一医院肝脏外科,黑龙江哈尔滨150001

出　　处：《中国实用外科杂志》2017年第2期124-128,共5页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金(No.81272705)

摘　　要：肝硬化病人由于受多种因素如血液成分改变、感染、机体自身"高凝"状态、血清白蛋白降低、手术类型等影响,围手术期易合并出血、门静脉血栓、静脉血栓栓塞综合征等并发症。外科医生应综合评估病人病情,针对性地改善易引起出血及血栓形成的不利因素,选择个体化手术治疗方案并精细操作,做好围手术期预防出血及血栓形成工作,保护病人生命安全。Patients with liver cirrhosis are affected by many factors, such as the change of blood components, infection, the body＇s hypercoagulable state, decreased serum albumin, type of surgery, which contributes to developing the perioperative complications of bleeding, portal vein thrombosis（PVT）, and venous thromboembolism（VTE）. Surgeons should comprehen- sively assess the patients＇ condition, devote to improve the dis- advantage factors and conduct the individual surgical plan del- icately. Furthermore,the perioperative prevention of bleeding and thrombosis should be carefully performed to protect the pa- tient safety.

关 键 词：肝硬化 围手术期 出血 血栓 静脉血栓栓塞症 门静脉血栓 

分 类 号：R6[医药卫生—外科学]