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首页> 外文期刊>Current opinion in anaesthesiology >Low-dose aspirin and clopidogrel: how to act in patients scheduled for day surgery.
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Low-dose aspirin and clopidogrel: how to act in patients scheduled for day surgery.

机译：小剂量阿司匹林和氯吡格雷：如何在计划进行日间手术的患者中起作用。

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PURPOSE OF REVIEW: With the increasing use of antiplatelet drug treatment, complications resulting from its interference with invasive procedures (surgery or regional anaesthesia) have become an everyday challenge to the surgical team. The purpose of this review is to examine the most recent findings and integrate them into the ambulatory surgery setting. RECENT FINDINGS: Recent studies have outlined the risks of withholding antiplatelet drug treatment, but it is now generally considered to be preferable to withhold treatment than to maintain it. The role of low molecular weight heparins or short-life NSAIDs as bridge drugs is now discussed and their usefulness challenged. SUMMARY: Most ambulatory surgical procedures present low bleeding risk. The current attitude in this setting is to maintain aspirin therapy and possible antiplatelet drug inhibitors throughout the perioperative period. High-risk patients proposed for high-risk surgery should not be treated as outpatients.
机译：审查的目的：随着抗血小板药物治疗的日益普及，由其干扰有创程序（手术或区域麻醉）引起的并发症已成为手术团队的日常挑战。本文的目的是检查最新发现并将其纳入门诊手术环境。最近的发现：最近的研究概述了停药抗血小板药物治疗的风险，但现在普遍认为停药治疗比维持治疗更可取。现在讨论了低分子量肝素或短寿命非甾体抗炎药作为过渡药物的作用，并质疑了其实用性。摘要：大多数非卧床手术程序呈现低出血风险。在这种情况下，当前的态度是在整个围手术期维持阿司匹林治疗和可能的抗血小板药物抑制剂。建议进行高危手术的高危患者不应被视为门诊患者。

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