围手术期处理是手术成功的关键环节之一。凝血机制异常重在术前发现,应认真筛查,明确凝血功能异常的病因,进行充分的术前准备。术中遵循损伤控制原则,术后早期重点在于损伤控制性复苏。对于高凝状态和出血倾向应同等重视,反对盲目使用止血剂。 Perioperative management is one of the key aspects of successful operation. Abnormal blood clotting mechanism found preoperatively, should be carefully screened, a clear cause of coagulation dysfunction, adequate preoperative preparation. Intraoperative follow the principle of injury control, early postoperative focus is on the controlled injury recovery. For hypercoagulable state and bleeding tendency should be given equal attention to the blind use of hemostatic agents.