THE INFLUENCE OF PREOPERATIVE DISAGGREGANT THERAPY ON BLOOD LOSS VOLUME IN PATIENTS WITH ISCHAEMIC HEART DISEASE IN THE AORTOCORONARY SHUNTING PERIOPERATIVE PERIOD

U.M. Muhamedova, A.E. Bautin, M.A. Karpenko, V.N. Solntsev

There were investigated 104 patients with stenocardia of overstrain II-IV FC and aortocoronary shunting (ACS); the age of patients was 36-79 years. The patients were divided on two groups in the dependence on terms of abolishment of acetylsalicylic acid (ASA): in 1st group were 38 patients with abolishment preparation in 3 days before the operation; in 2nd group - 66 patients with abolishment more early. At intraoperative and early postoperative periods the blood loss volume was determined in all patients of both groups. Reliable differences of haemostasis indexes between groups were not observed. On the contrary, in patients of both groups the same dynamics of alterations of them was showed: decreasing by the end of operation and increasing over initial data by 7 days after the operation. Higher blood loss volume was in 1st group, therefore postoperative blood loss may be decreased because more exact control of abolish terms of ASA medicines before the ACS.

Keywords: aortocoronary shunting, blood loss , ASA, haemostasis.

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