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冠心病患者实施非心脏手术凝血功能状态是决定手术成败及术后康复情况的关键因素之一。此类患者往往存在血栓前状态,其凝血功能受手术、麻醉的创伤、抗凝及抗血小板药物的使用、输血及出血等复杂因素的影响,因此采取有效而敏感的指标进行检测并准确判断凝血功能状态,对于术前评估及围术期的管理至关重要。掌握此类患者凝血功能变化,并且针对不同的影响因素采取有效的处理策略,可降低死亡率,减少围术期心脏不良事件等并发症的发生,可缩短住院时间、减少医疗费用,有重要的临床应用价值。
Coronary heart disease patients to implement non-cardiac surgery coagulation status is to determine the success of surgery and postoperative recovery of one of the key factors. Such patients are often pre-thrombotic state, the coagulation by surgery, anesthetic trauma, the use of anticoagulant and antiplatelet drugs, blood transfusion and bleeding and other complicated factors, so take effective and sensitive indicators to detect and accurately determine the clotting Functional status, for the preoperative assessment and management of perioperative period is essential. To master the changes of coagulation function in these patients and to take effective treatment strategies according to different influencing factors can reduce the mortality and reduce the complications such as perioperative cardiac events, shorten the hospitalization time and reduce the medical expenses, and have important Clinical application value.