抗血栓療法を必要とする症例における一般外科周術期管理

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  • Perioperative Management in General Surgery Requiring Antithrombotic Therapy.

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To investigate risks of antithrombotic therapy in general surgery, 178 consecutive patients who underwent general surgery from 1998 to 2000 were divided into two groups; the patients who maintained on antithrombotic therapy perioperatively, according to our regimen (n=76) and those who did not (n=102). Both patient groups were compaired for intraoperative blood loss, operation time, postoperative hospital stay, especially for bleeding-related complications. Antithrombotic therapy throughout the perioperative period did not influence the amount of bleeding, operation time, and postoperative hospital stay. It caused only few bleeding complications without increasing the risk of thromboembolism. We conclude that it is possible and desirable to continue anticoaguration and antiplatelet therapy under proper regimen in the case of general surgery.

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