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肝胆外科患者凝血功能的评价与凝血功能障碍的干预的专家共识

2013-04-05 MedSci MedSci原创

肝胆外科凝血共识
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肝胆外科患者由于合并慢性肝病和梗阻性黄疸等，术前常存在凝血功能障碍，围手术期多种因素又可以进一步影响已有的凝血障碍，因此需要对肝胆外科患者的凝血功能进行全面准确的评估，对围手术期可能出现的凝血功能障碍做出预警提示并实施有效干预，从而确保手术患者的安全。本共识旨在为肝胆外科、肝脏移植、麻醉、ICU等专科医生对肝胆外科患者围手术期凝血功能的评估与干预提供参考。 共识下载：肝胆外科患者凝血功能的评价与

肝胆外科患者由于合并慢性肝病和梗阻性黄疸等，术前常存在凝血功能障碍，围手术期多种因素又可以进一步影响已有的凝血障碍，因此需要对肝胆外科患者的凝血功能进行全面准确的评估，对围手术期可能出现的凝血功能障碍做出预警提示并实施有效干预，从而确保手术患者的安全。本共识旨在为肝胆外科、肝脏移植、麻醉、ICU等专科医生对肝胆外科患者围手术期凝血功能的评估与干预提供参考。

共识下载：肝胆外科患者凝血功能的评价与凝血功能障碍的干预的专家共识

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  1. [GetPortalCommentsPageByObjectIdResponse(id=17126, encodeId=77981e1268d, content=非常贴近临床工作，很实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=109f1616069, createdName=DoctorTao1991, createdTime=Fri Feb 27 22:34:00 CST 2015, time=2015-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1741123, encodeId=4fe61e41123d6, content=<a href='/topic/show?id=844f31314b7' target=_blank style='color:#2F92EE;'>#凝血功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31314, encryptionId=844f31314b7, topicName=凝血功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b75a34868560, createdName=ms6279672939590805, createdTime=Tue Aug 27 19:36:00 CST 2013, time=2013-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674687, encodeId=15fb16e4687d6, content=<a href='/topic/show?id=ef0f8139217' target=_blank style='color:#2F92EE;'>#肝胆外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81392, encryptionId=ef0f8139217, topicName=肝胆外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=04d027086798, createdName=chenshujs, createdTime=Thu Oct 10 19:36:00 CST 2013, time=2013-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844400, encodeId=23ec1844400a0, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Sat Mar 15 19:36:00 CST 2014, time=2014-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1269748, encodeId=bc6c1269e4808, content=<a href='/topic/show?id=b85e313130a' target=_blank style='color:#2F92EE;'>#凝血功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31313, encryptionId=b85e313130a, topicName=凝血功能)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420981, encodeId=4c3014209816d, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444057, encodeId=3c11144405e8b, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=)]
    2015-02-27 DoctorTao1991

    非常贴近临床工作，很实用

    0

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    2013-08-27 ms6279672939590805

    #凝血功能障碍#

    0

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    2013-10-10 chenshujs

    #肝胆外科#

    0

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    2014-03-15 snowpeakxu

    #专家共识#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=17126, encodeId=77981e1268d, content=非常贴近临床工作，很实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=109f1616069, createdName=DoctorTao1991, createdTime=Fri Feb 27 22:34:00 CST 2015, time=2015-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1741123, encodeId=4fe61e41123d6, content=<a href='/topic/show?id=844f31314b7' target=_blank style='color:#2F92EE;'>#凝血功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31314, encryptionId=844f31314b7, topicName=凝血功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b75a34868560, createdName=ms6279672939590805, createdTime=Tue Aug 27 19:36:00 CST 2013, time=2013-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674687, encodeId=15fb16e4687d6, content=<a href='/topic/show?id=ef0f8139217' target=_blank style='color:#2F92EE;'>#肝胆外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81392, encryptionId=ef0f8139217, topicName=肝胆外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=04d027086798, createdName=chenshujs, createdTime=Thu Oct 10 19:36:00 CST 2013, time=2013-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844400, encodeId=23ec1844400a0, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Sat Mar 15 19:36:00 CST 2014, time=2014-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1269748, encodeId=bc6c1269e4808, content=<a href='/topic/show?id=b85e313130a' target=_blank style='color:#2F92EE;'>#凝血功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31313, encryptionId=b85e313130a, topicName=凝血功能)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420981, encodeId=4c3014209816d, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444057, encodeId=3c11144405e8b, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=)]
    2013-04-07 qidongfanjian

    #凝血功能#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=17126, encodeId=77981e1268d, content=非常贴近临床工作，很实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=109f1616069, createdName=DoctorTao1991, createdTime=Fri Feb 27 22:34:00 CST 2015, time=2015-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1741123, encodeId=4fe61e41123d6, content=<a href='/topic/show?id=844f31314b7' target=_blank style='color:#2F92EE;'>#凝血功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31314, encryptionId=844f31314b7, topicName=凝血功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b75a34868560, createdName=ms6279672939590805, createdTime=Tue Aug 27 19:36:00 CST 2013, time=2013-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674687, encodeId=15fb16e4687d6, content=<a href='/topic/show?id=ef0f8139217' target=_blank style='color:#2F92EE;'>#肝胆外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81392, encryptionId=ef0f8139217, topicName=肝胆外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=04d027086798, createdName=chenshujs, createdTime=Thu Oct 10 19:36:00 CST 2013, time=2013-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844400, encodeId=23ec1844400a0, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Sat Mar 15 19:36:00 CST 2014, time=2014-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1269748, encodeId=bc6c1269e4808, content=<a href='/topic/show?id=b85e313130a' target=_blank style='color:#2F92EE;'>#凝血功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31313, encryptionId=b85e313130a, topicName=凝血功能)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420981, encodeId=4c3014209816d, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444057, encodeId=3c11144405e8b, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=)]
    2013-04-07 naiwu78

    #功能障碍#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=17126, encodeId=77981e1268d, content=非常贴近临床工作，很实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=109f1616069, createdName=DoctorTao1991, createdTime=Fri Feb 27 22:34:00 CST 2015, time=2015-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1741123, encodeId=4fe61e41123d6, content=<a href='/topic/show?id=844f31314b7' target=_blank style='color:#2F92EE;'>#凝血功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31314, encryptionId=844f31314b7, topicName=凝血功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b75a34868560, createdName=ms6279672939590805, createdTime=Tue Aug 27 19:36:00 CST 2013, time=2013-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1674687, encodeId=15fb16e4687d6, content=<a href='/topic/show?id=ef0f8139217' target=_blank style='color:#2F92EE;'>#肝胆外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81392, encryptionId=ef0f8139217, topicName=肝胆外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=04d027086798, createdName=chenshujs, createdTime=Thu Oct 10 19:36:00 CST 2013, time=2013-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844400, encodeId=23ec1844400a0, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Sat Mar 15 19:36:00 CST 2014, time=2014-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1269748, encodeId=bc6c1269e4808, content=<a href='/topic/show?id=b85e313130a' target=_blank style='color:#2F92EE;'>#凝血功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31313, encryptionId=b85e313130a, topicName=凝血功能)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b09892, createdName=qidongfanjian, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1420981, encodeId=4c3014209816d, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444057, encodeId=3c11144405e8b, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Apr 07 13:36:00 CST 2013, time=2013-04-07, status=1, ipAttribution=)]
    2013-04-07 huagfeg

    #评价#

    0

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