rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2010-6-5-685-690rpcardio-968Research ArticlePOINT OF VIEWТОЧКА ЗРЕНИЯTHE INVASIVE DENTAL PROCEDURES IN PATIENTS TREATING WITH WARFARIN: POSSIBILITIES AND PROSPECTS FOR SAFETYИНВАЗИВНЫЕ СТОМАТОЛОГИЧЕСКИЕ ПРОЦЕДУРЫ У БОЛЬНЫХ, ПРИНИМАЮЩИХ ВАРФАРИН: ВОЗМОЖНОСТИ И ПЕРСПЕКТИВЫ БЕЗОПАСНОСТИКозловаТ. В.KozlovaT. V.

д.м.н., доцент кафедры госпитальной терапии №1 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Trubetskaya ul. 8/2, Moscow, 119991

dockozlova@gmail.comМакееваИ. М.MakeyevaI. M.

д.м.н., профессор, зав. кафедрой терапевтической стоматологии 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Trubetskaya ul. 8/2, Moscow, 119991

ДорошинаВ. Ю.DoroshinaV. Y.

к.м.н., доцент 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Trubetskaya ul. 8/2, Moscow, 119991

БокареваС. И.BokarevaS. I.

студентка 5-го курса стоматологического факультета 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Trubetskaya ul. 8/2, Moscow, 119991

Первый Московский Государственный Медицинский Университет им. И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical UniversityRussian Federation20102201201665685690Copyright © Kozlova T.V., Makeyeva I.M., Doroshina V.Y., Bokareva S.I., 20162016Козлова Т.В., Макеева И.М., Дорошина В.Ю., Бокарева С.И.Kozlova T.V., Makeyeva I.M., Doroshina V.Y., Bokareva S.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/968

Details of the management of patients receiving oral anticoagulants (vitamin K antagonists) for a long time and needed in dental treatment are discussed. Assessment of bleeding and thromboembolism risk in the perioperative continuation or termination of warfarin therapy is shown. Potential of the local hemostatic agents is specified. Modifications of the patient dental health card are offered to prevent complications associated with blood clotting disorders.

Обсуждаются особенности ведения больных, длительное время получающих лечение оральными антикоагулянтами (антивитаминами К) и нуждающихся в стоматологических вмешательствах. Дается оценка риска кровоточивости и возникновения тромбоэмболизма при периоперационном продолжении или прекращении приема варфарина. Уточняются возможности местных гемостатических препаратов. Предлагаются дополнения в карту здоровья стоматологического пациента с целью предупреждения осложнений, связанных с нарушениями свертывания крови.

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The authors declare that there are no conflicts of interest present.