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发表时间 阅读量
Array ( [id] => 1348 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1348.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Prophylactic administration of fibrinogen concentrate is not recommended in prostate surgery. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 在前列腺手术中不推荐预防性使用纤维蛋白原浓缩物。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
在前列腺手术中不推荐预防性使用纤维蛋白原浓缩物。（证据级别：低；推荐强度：强推荐）

Prophylactic administration of fibrinogen concentrate is not recommended in prostate surgery. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1349 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1349.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Computed tomography scan or angiography are suggested for the diagnosis of late bleeding after pancreatectomy, and endovascular interventional therapy is suggested as primary treatment. （Evidence level: low；Recommendation grade:weak） [laiyuan] => 胰腺切除术后迟发性出血的诊断建议行CT或血管造影检查，血管内介入治疗为首选治疗方法。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
胰腺切除术后迟发性出血的诊断建议行CT或血管造影检查，血管内介入治疗为首选治疗方法。（证据级别：低；推荐强度：弱推荐）

Computed tomography scan or angiography are suggested for the diagnosis of late bleeding after pancreatectomy, and endovascular interventional therapy is suggested as primary treatment. （Evidence level: low；Recommendation grade:weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1350 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1350.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Preoperative chronic antithrombotic therapy and perioperative chemical thromboprophylaxis seem not to increase the peri-operative haemorrhagic complications in patients undergoing HPB surgery. （Evidence level: low） [laiyuan] => 术前长期抗栓治疗和围手术期预防性化学血栓治疗不会增加HPB患者围手术期出血并发症的发生。（证据级别：低） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
术前长期抗栓治疗和围手术期预防性化学血栓治疗不会增加HPB患者围手术期出血并发症的发生。（证据级别：低）

Preoperative chronic antithrombotic therapy and perioperative chemical thromboprophylaxis seem not to increase the peri-operative haemorrhagic complications in patients undergoing HPB surgery. （Evidence level: low）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1351 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1351.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest that cell salvage is not contraindicated in cancer surgery, provided that blood aspiration close to the tumour site is avoided and leukodepletion filters are used. （Evidence level: low；Recommendation grade:weak） [laiyuan] => 我们认为，在肿瘤手术中，只要避免靠近肿瘤部位的血液抽吸，并使用白细胞清除滤器，细胞回收并不禁忌。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们认为，在肿瘤手术中，只要避免靠近肿瘤部位的血液抽吸，并使用白细胞清除滤器，细胞回收并不禁忌。（证据级别：低；推荐强度：弱推荐）

We suggest that cell salvage is not contraindicated in cancer surgery, provided that blood aspiration close to the tumour site is avoided and leukodepletion filters are used. （Evidence level: low；Recommendation grade:weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1296 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1296.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Withdrawal of aspirin treatment before surgery might increase the risk of coronary thrombosis; however, continuation of aspirin treatment increases the risk of bleeding.（Evidence level: moderate) [laiyuan] => 在手术前停止阿司匹林治疗可能会增加冠状动脉血栓形成的风险；然而，持续阿司匹林治疗会增加出血的风险。（证据级别：中） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
在手术前停止阿司匹林治疗可能会增加冠状动脉血栓形成的风险；然而，持续阿司匹林治疗会增加出血的风险。（证据级别：中）

Withdrawal of aspirin treatment before surgery might increase the risk of coronary thrombosis; however, continuation of aspirin treatment increases the risk of bleeding.（Evidence level: moderate)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1297 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1297.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Withdrawal of treatment with P2Y12 inhibitors (clopidogrel, prasugrel and ticagrelor) before surgery might increase the risk of coronary thrombosis; however, continuation of clopidogrel therapy increases the risk of bleeding.（Evidence level: moderate) [laiyuan] => 术前停用P2Y12抑制剂(氯吡格雷、普拉格雷和替卡格雷)可能会增加冠状动脉血栓形成的风险；然而，继续氯吡格雷治疗会增加出血的风险。（证据级别：中） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
术前停用P2Y12抑制剂(氯吡格雷、普拉格雷和替卡格雷)可能会增加冠状动脉血栓形成的风险；然而，继续氯吡格雷治疗会增加出血的风险。（证据级别：中）

Withdrawal of treatment with P2Y12 inhibitors (clopidogrel, prasugrel and ticagrelor) before surgery might increase the risk of coronary thrombosis; however, continuation of clopidogrel therapy increases the risk of bleeding.（Evidence level: moderate)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1298 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1298.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients on DAPT who need to undergo nonemergency cardiac surgery, postponing surgery for at least 5 days after discontinuation of ticagrelor or clopidogrel and 7 days after prasugrel should be considered.（Evidence level: moderate；Recommendation grade: weak） [laiyuan] => 对于需要进行非紧急心脏手术的双重抗血小板治疗患者，停用替格瑞洛或氯吡格雷后至少推迟5天，普拉格雷7天后考虑手术。（证据级别：中；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
对于需要进行非紧急心脏手术的双重抗血小板治疗患者，停用替格瑞洛或氯吡格雷后至少推迟5天，普拉格雷7天后考虑手术。（证据级别：中；推荐强度：弱推荐）

In patients on DAPT who need to undergo nonemergency cardiac surgery, postponing surgery for at least 5 days after discontinuation of ticagrelor or clopidogrel and 7 days after prasugrel should be considered.（Evidence level: moderate；Recommendation grade: weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1299 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1299.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Platelet function testing may be considered to guide the decision on the timing of cardiac surgery in patients who have recently received P2Y12 inhibitors.（Evidence level: moderate) [laiyuan] => 血小板功能检测可以指导近期接受P2Y12抑制剂治疗的患者决定心脏手术的时机。（证据级别：中） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
血小板功能检测可以指导近期接受P2Y12抑制剂治疗的患者决定心脏手术的时机。（证据级别：中）

Platelet function testing may be considered to guide the decision on the timing of cardiac surgery in patients who have recently received P2Y12 inhibitors.（Evidence level: moderate)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1300 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1300.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Bridging oral antiplatelet therapy with LMWH is not recommended.（Evidence level:high；Recommendation grade: strong） [laiyuan] => 不推荐口服低分子肝素进行桥接抗血小板治疗。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
不推荐口服低分子肝素进行桥接抗血小板治疗。（证据级别：高；推荐强度：强推荐）

Bridging oral antiplatelet therapy with LMWH is not recommended.（Evidence level:high；Recommendation grade: strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1301 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1301.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:29 [updatetime] => 2024-01-11 15:24:29 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest that aspirin or P2Y12 inhibitors may be administered in the early postoperative period without increasing the risk of postoperative bleeding.（Evidence level: low；Recommendation grade: weak） [laiyuan] => 我们建议在术后早期使用阿司匹林或P2Y12抑制剂，不会增加术后出血的风险。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957869 [_updatetime] => 1704957869 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在术后早期使用阿司匹林或P2Y12抑制剂，不会增加术后出血的风险。（证据级别：低；推荐强度：弱推荐）

We suggest that aspirin or P2Y12 inhibitors may be administered in the early postoperative period without increasing the risk of postoperative bleeding.（Evidence level: low；Recommendation grade: weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读

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