阿司匹林持续服用对急诊下行阑尾切除术中和术后出血的影响.pdfVIP

临床外科杂志2016 年 1 月第24 卷第 l 期 J Clin Su眩.Janu町2016. Vol. 24 .No. 1 . 53 . ·论著· 阿司匹林持续服用对急诊下行阑尾切除术 中和术后出血的影响 姚敏学曹方陶国强冯秋鹏马进钟金妹严明科 [摘要] 目的 分析阿司匹林持续服用对急诊下行阑尾切除术中和术后出血及其他并发症 的影响。方法 急性阑尾炎患者66 例，其中持续应用阿司匹林组25 例，未服用阿司匹林组41 例。 均急诊行阑尾切除术。比较两组术中出血量、手术时间、放置腹腔引流管率(引流量)、术后出血 (再手术)率、术后输血率、切口感染率、血栓栓塞事件率住院时间及病理类型。结果 两组患者在 术中出血量、手术时间、放置腹腔引流管率、术后出血(再手术)率、术后输血率、切口感染率、血栓 栓塞事件率、住院时间、病理类型等方面比较，差异无统计学意义(P 0. 05) 。结论 在细致的操 作及妥善的止血下，急诊下行阑尾切除患者围手术期持续服用低剂量阿司匹林是安全的，并不增 加术中和术后出血风险。所以不建议拖延手术。 [关键词] 阿司匹林; 急诊; 阑尾切除术; 出血 Impact of continuous use of aspirin on intraoperative and postoperative bleeding in eme昭:encyap­ pendectomy YAO Minxue. CAO Fang. TAO Gωqω晤， et αl. (Departmerú 01 Emer百ency ， the First Peo- ple s Hospital 01 Kunshan ,Jiangsu 2153∞，China) [AbstractJ Objective To study the impact of continuous use of aspirin on intraoperative and postoperative bleeding and associated complications in emergency appendectomy. Methods Tbere were 66 cases of acute appendicitis ,including 25 c田es with continuous use of 臼pirin and 41 cases without it. Tbe intraoperative bleeding ,operating time ,abdominal drainage rate ,postoperative bleeding rate (reopera- tion rate) , postoperative blood transfusion ,incision infection rate ,hirombaerinbolism cases ,hospital stays and pathological pattems were compared. Results The two groups showed no significant difference in in- traoperative bleeding , operating time , abdominal drainage rate , postoperative bleeding rate ( reoperation rate) ,postoperative blood transfusion , incision infection rate ,hirombaerinbolism c皑白 rate , hospital stays and pathological pattems( P 0.05). Conclusion Continuous use of low-dose aspirin did not increase the rate of intraoperative and postoperative bleeding in the perioperative period in patients with wh