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风湿性心脏病瓣膜置换术后抗凝治疗中“度”的把握

How to Do Well in Anticoagulation Treatment of Heart Valve Replacement

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【作者】 龚丽明黄云超程传贤

【Author】 GONG Li-ming,HUANG Yun-chao,CHENG Chuan-xian.The Fourth Affiliated Hospital,Kunming Medical College.(The Second People’s Hospital of Yunnan Province),Kunming 650021,China

【机构】 昆明医学院第四附属医院(云南省第二人民医院)心胸外科昆明医学院第三附属医院(云南省肿瘤医院)胸心血管外科昆明医学院社科部

【摘要】 风湿性心脏瓣膜病在世界范围内发病率极高,瓣膜置换术是目前治疗该病的主要方法,根据不同的病情及需要可置换机械瓣或生物瓣,我国患者更常选择机械瓣置换,术后生物瓣置换需抗凝3个月~6个月,而机械瓣置换者需终身抗凝,故抗凝治疗非常关键。本文从辨证思维的角度分析如何在瓣膜置换术后把握好抗凝治疗。

【Abstract】 The incidence of the rheumatic heart valve sickness is high in worldwide scale.Heart valve replacement is the most important therapy of valvular disease.In the light of different condition and need,mechanical valve or biological valve replacement can be used.In China,patients often preferred mechanical valve replacement.After biological valve replacement,the patients have to receive anticoagulation treatment for three to six months.In addition,for the patients with mechanical valve replacement ,postoperative anticoagulation treatment has to be done all their life. This kind of treatment is very important.How to grasp the antifreeze treatment after the valve replacement is discussed with philosophical thought in this paper.

  • 【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10期
  • 【分类号】R654.2
  • 【被引频次】2
  • 【下载频次】98
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