节点文献
我国非瓣膜病房颤抗凝的现状与思考
The Present and Clinical Practice of Non-valve Atrial Fibrillation in China
【摘要】 心房纤颤增加缺血性脑中风4倍~5倍,抗凝治疗可减少60%的缺血性脑中风,但是同时会增加出血的风险,尤其是脑出血。我国是脑中风,特别是出血性脑中风的高发国家,所以对于房颤抗凝的临床决策往往偏保守,造成我国房颤患者抗凝比例很低。本文就如何在我国房颤患者中进行抗凝提出意见。
【Abstract】 Atrial fibrillation(AF)patients are widely heterogeneous in terms of ischemic stroke risk.Prophylactic anticoagulation therapy significantly reduces the incidence of thromboembolic events in patients with AF by 60%.Management of patients with AF in clinical practice represents a very low rate of anticoagulation therapy in AF patients in China due to the presumable risk of bleeding.Each approach should be chosen according to individual patient’s circumstances and endeavor to well use the anticoagulation therapy to prevent thromboembolic events in China.
【关键词】 房颤;
抗凝强度;
老人;
围手术期处理;
【Key words】 atrial fibrillation; anticoagulation intensity; elder; preoperative management;
【Key words】 atrial fibrillation; anticoagulation intensity; elder; preoperative management;
- 【文献出处】 医学与哲学(临床决策论坛版) ,Medicine & Philosophy(Clinical Decision Making Forum Edition) , 编辑部邮箱 ,2009年03期
- 【分类号】R541.75
- 【被引频次】4
- 【下载频次】124