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口服抗凝药物过量及中毒的药代动力学方面(作者译)

[Pharmacokinetic aspects of overdosage and intoxication with oral anticoagulant drugs (author's transl)].

作者信息

Jähnchen E, Meinertz T

出版信息

Arzneimittelforschung. 1977;27(96):1849-56.

PMID:303522
Abstract

Three aspects of treatment with oral anticoagulant drugs are discussed: 1. Drug interactions which can lead to changes in the elimination or distribution of oral anticoagulant drugs with special emphasis on the time course of the augmentation of the anticoagulant effect. 2. Pharmacokinetic factors responsible for inter- and intrasubject differences in the response to oral anticoagulant drugs. 3. Treatment of overdosage and intoxication with oral anticoagulant drugs. Besides symptomatic treatment with vitamin K and prothrombin complex concentrate the interruption of the enterohepatic recycling by cholestyramine is demonstrated as a useful method for enhancing the elimination of phenprocoumon and warfarin from the body.

摘要

本文讨论了口服抗凝药物治疗的三个方面

  1. 药物相互作用,这可能导致口服抗凝药物的消除或分布发生变化,特别强调抗凝作用增强的时间过程。2. 导致个体间和个体内对口服抗凝药物反应差异的药代动力学因素。3. 口服抗凝药物过量和中毒的治疗。除了使用维生素K和凝血酶原复合物浓缩物进行对症治疗外,消胆胺中断肠肝循环被证明是一种增强苯丙香豆素和华法林从体内消除的有用方法。

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