Thorup Stine Borch, Husted Steen Elkjær, Vang Marianne Lauridsen
Skovbrynet 13, 9530 Støvring.
Ugeskr Laeger. 2014 Apr 28;176(9).
The approval of the oral direct thrombin inhibitor dabigatranetexilat and the oral factor Xa inhibitors rivaroxaban and apixaban as thromboprophylaxis challenges the position of the vitamin K antagonists (VKA). Predictable pharmacodynamics gives the new oral anticoagulants an advantageous profile. Unlike VKAs there is no specific reversal agent available for the new oral anticoagulants. Experience with haemostatic products for the emergency management of critical bleeding caused by these agents is limited.
口服直接凝血酶抑制剂达比加群酯以及口服Xa因子抑制剂利伐沙班和阿哌沙班获批用于血栓预防,这对维生素K拮抗剂(VKA)的地位构成了挑战。可预测的药效学赋予了新型口服抗凝剂有利的特性。与VKA不同,新型口服抗凝剂没有可用的特异性逆转剂。用于这些药物所致严重出血急救的止血产品经验有限。