Baidu
map

抗栓治疗患者接受非心脏手术围手术期管理的上海专家共识(2021版)

2021-08-25 临床麻醉相关专家组(统称) 上海医学. 2021,44(08)

随着人口的老龄化,人群中各类心血管疾病的患病率逐渐增高,应用各类抗栓药物治疗的患者越来越多,此类患者如接受外科手术,围手术期出血风险明显增加,影响手术安全。为提高临床医师对应用抗栓药物患者的围手术期管

中文标题:

抗栓治疗患者接受非心脏手术围手术期管理的上海专家共识(2021版)

发布日期:

2021-08-25

简要介绍:

随着人口的老龄化,人群中各类心血管疾病的患病率逐渐增高,应用各类抗栓药物治疗的患者越来越多,此类患者如接受外科手术,围手术期出血风险明显增加,影响手术安全。为提高临床医师对应用抗栓药物患者的围手术期管理水平,进行科学桥接治疗,降低围手术期出血风险,上海市医学会外科专科分会、心血管病专科分会和麻醉科专科分会组织相关领域专家,撰写了《抗栓治疗患者接受非心脏手术围手术期管理的上海专家共识(2021版)》。本共识包括了围手术期出血风险评估、常用抗血小板药物的特性、停药后药物的桥接治疗、术后药物管理、椎管内麻醉的处理原则等方面的内容。明确了在临床实践中,良好的围手术期抗栓管理需要心血管科医师、外科医师、麻醉科医师和护士等人员的参与和协作,根据不同的手术方式,结合患者自身因素,制订个体化的管理方案,使手术患者获得安全、有效和满意的手术效果。 
 

相关资料下载:
[AttachmentFileName(sort=1, fileName=抗栓治疗患者接受非心脏手术围手术_管理的上海专家共识_2021版_刘凤林.pdf)] GetToolGuiderByIdResponse(projectId=1, id=ed46f1c002185933, title=抗栓治疗患者接受非心脏手术围手术期管理的上海专家共识(2021版), enTitle=, guiderFrom=上海医学. 2021,44(08), authorId=0, author=, summary=随着人口的老龄化,人群中各类心血管疾病的患病率逐渐增高,应用各类抗栓药物治疗的患者越来越多,此类患者如接受外科手术,围手术期出血风险明显增加,影响手术安全。为提高临床医师对应用抗栓药物患者的围手术期管, cover=https://img.medsci.cn/2021914/1631563086469_2020535.jpg, journalId=0, articlesId=null, associationId=731, associationName=临床麻醉相关专家组(统称), associationIntro=null, copyright=0, guiderPublishedTime=Wed Aug 25 00:00:00 CST 2021, originalUrl=, linkOutUrl=, content=<div class="row"><span id="ChDivSummary" class="abstract-text" style="color: #666666;">随着人口的老龄化,人群中各类心血管疾病的患病率逐渐增高,应用各类抗栓药物治疗的患者越来越多,此类患者如接受外科手术,围手术期出血风险明显增加,影响手术安全。为提高临床医师对应用抗栓药物患者的围手术期管理水平,进行科学桥接治疗,降低围手术期出血风险,上海市医学会外科专科分会、心血管病专科分会和麻醉科专科分会组织相关领域专家,撰写了《抗栓治疗患者接受非心脏手术围手术期管理的上海专家共识(2021版)》。本共识包括了围手术期出血风险评估、常用抗血小板药物的特性、停药后药物的桥接治疗、术后药物管理、椎管内麻醉的处理原则等方面的内容。明确了在临床实践中,良好的围手术期抗栓管理需要心血管科医师、外科医师、麻醉科医师和护士等人员的参与和协作,根据不同的手术方式,结合患者自身因素,制订个体化的管理方案,使手术患者获得安全、有效和满意的手术效果。&nbsp;</span></div> <div class="row">&nbsp;</div>, tagList=[TagDto(tagId=62486, tagName=围手术期管理)], categoryList=[CategoryDto(categoryId=29, categoryName=麻醉疼痛科, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=62486, guiderKeyword=围手术期管理, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=0, guiderRegion=3, opened=0, paymentType=, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=4972, appHits=229, showAppHits=0, pcHits=524, showPcHits=4742, likes=2, shares=25, comments=18, approvalStatus=1, publishedTime=Tue Sep 14 03:58:39 CST 2021, publishedTimeString=2021-08-25, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=2, createdBy=null, createdName=qiushida2, createdTime=Tue Sep 14 03:58:16 CST 2021, updatedBy=2020535, updatedName=qiushida2, updatedTime=Wed Jan 03 20:20:43 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=抗栓治疗患者接受非心脏手术围手术_管理的上海专家共识_2021版_刘凤林.pdf)])
抗栓治疗患者接受非心脏手术围手术_管理的上海专家共识_2021版_刘凤林.pdf
下载请点击:
评论区 (15)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1180137, encodeId=fadc118013e9a, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:50:27 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1180135, encodeId=4e981180135c6, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:45:34 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080444, encodeId=3fb2108044406, content=想下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07aa6405845, createdName=ms9000001914773048, createdTime=Wed Dec 15 21:57:14 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076350, encodeId=b74310e635053, content=非常详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8ca105034, createdName=zhaopeng8933, createdTime=Thu Dec 02 22:19:51 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1060235, encodeId=af3a106023577, content=很高的实用性!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=16be1577434, createdName=rlq6345, createdTime=Wed Oct 13 20:54:15 CST 2021, time=2021-10-13, status=1, ipAttribution=)]
    2022-01-03 ms9000001063999104

    写的很详细

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1180137, encodeId=fadc118013e9a, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:50:27 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1180135, encodeId=4e981180135c6, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:45:34 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080444, encodeId=3fb2108044406, content=想下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07aa6405845, createdName=ms9000001914773048, createdTime=Wed Dec 15 21:57:14 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076350, encodeId=b74310e635053, content=非常详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8ca105034, createdName=zhaopeng8933, createdTime=Thu Dec 02 22:19:51 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1060235, encodeId=af3a106023577, content=很高的实用性!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=16be1577434, createdName=rlq6345, createdTime=Wed Oct 13 20:54:15 CST 2021, time=2021-10-13, status=1, ipAttribution=)]
    2022-01-03 ms9000001063999104

    写的很详细

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1180137, encodeId=fadc118013e9a, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:50:27 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1180135, encodeId=4e981180135c6, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:45:34 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080444, encodeId=3fb2108044406, content=想下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07aa6405845, createdName=ms9000001914773048, createdTime=Wed Dec 15 21:57:14 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076350, encodeId=b74310e635053, content=非常详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8ca105034, createdName=zhaopeng8933, createdTime=Thu Dec 02 22:19:51 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1060235, encodeId=af3a106023577, content=很高的实用性!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=16be1577434, createdName=rlq6345, createdTime=Wed Oct 13 20:54:15 CST 2021, time=2021-10-13, status=1, ipAttribution=)]
    2021-12-15 ms9000001914773048

    想下载

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1180137, encodeId=fadc118013e9a, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:50:27 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1180135, encodeId=4e981180135c6, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:45:34 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080444, encodeId=3fb2108044406, content=想下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07aa6405845, createdName=ms9000001914773048, createdTime=Wed Dec 15 21:57:14 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076350, encodeId=b74310e635053, content=非常详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8ca105034, createdName=zhaopeng8933, createdTime=Thu Dec 02 22:19:51 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1060235, encodeId=af3a106023577, content=很高的实用性!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=16be1577434, createdName=rlq6345, createdTime=Wed Oct 13 20:54:15 CST 2021, time=2021-10-13, status=1, ipAttribution=)]
    2021-12-02 zhaopeng8933

    非常详细

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1180137, encodeId=fadc118013e9a, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:50:27 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1180135, encodeId=4e981180135c6, content=写的很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1fb86415037, createdName=ms9000001063999104, createdTime=Mon Jan 03 18:45:34 CST 2022, time=2022-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080444, encodeId=3fb2108044406, content=想下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07aa6405845, createdName=ms9000001914773048, createdTime=Wed Dec 15 21:57:14 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1076350, encodeId=b74310e635053, content=非常详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c8ca105034, createdName=zhaopeng8933, createdTime=Thu Dec 02 22:19:51 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1060235, encodeId=af3a106023577, content=很高的实用性!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=16be1577434, createdName=rlq6345, createdTime=Wed Oct 13 20:54:15 CST 2021, time=2021-10-13, status=1, ipAttribution=)]
    2021-10-13 rlq6345

    很高的实用性!

    0

拓展阅读

颅咽管瘤围手术期管理中国专家共识(2017)

中华医学会神经外科学分会 · 2017-12-28

老年患者围手术期管理北京协和医院专家共识

北京协和医院相关科室专家 · 2018-01-30

颈椎病的手术治疗及围手术期管理专家共识(2018)

中华外科杂志编辑委员会 · 2018-12-26

ISA 立场声明:COVID-19 后手术患者的围手术期管理

临床麻醉相关专家组(统称) · 2021-07-27

Baidu
map
Baidu
map
Baidu
map