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基层医疗医生面临的门诊抗凝问题。

Outpatient anticoagulation issues for the primary care physician.

作者信息

Spandorfer J M, Merli G J

机构信息

Division of Internal Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

出版信息

Med Clin North Am. 1996 Mar;80(2):475-91. doi: 10.1016/s0025-7125(05)70449-1.

DOI:10.1016/s0025-7125(05)70449-1
PMID:8614182
Abstract

Increasingly, primary care providers are caring for patients who require anticoagulation. In this article the indications for, complications of, and methods of dosing and monitoring warfarin in the outpatient setting are reviewed. Heparin use among ambulatory patients also is discussed.

摘要

越来越多的初级保健提供者开始照料需要抗凝治疗的患者。本文将对门诊环境中使用华法林的适应证、并发症以及给药和监测方法进行综述。同时也会讨论门诊患者使用肝素的情况。

相似文献

1
Outpatient anticoagulation issues for the primary care physician.基层医疗医生面临的门诊抗凝问题。
Med Clin North Am. 1996 Mar;80(2):475-91. doi: 10.1016/s0025-7125(05)70449-1.
2
Anticoagulation in the elderly.老年人的抗凝治疗
Curr Opin Pulm Med. 2001 Sep;7(5):365-70. doi: 10.1097/00063198-200109000-00020.
3
The quality of anticoagulation management.抗凝管理的质量。
Arch Intern Med. 2000 Apr 10;160(7):895-6. doi: 10.1001/archinte.160.7.895.
4
Contra: 'Warfarin should be the drug of choice for thromboprophylaxis in elderly patients with atrial fibrillation'. Caveats regarding use of oral anticoagulant therapy among elderly patients with atrial fibrillation.反对观点:“华法林应是老年房颤患者血栓预防的首选药物”。关于老年房颤患者使用口服抗凝治疗的注意事项。
Thromb Haemost. 2008 Jul;100(1):16-7. doi: 10.1160/TH08-06-0343.
5
Treatment patterns and real-world effectiveness of warfarin in nonvalvular atrial fibrillation within a managed care system.华法林在管理式医疗系统中非瓣膜性心房颤动的治疗模式及真实世界疗效
Curr Med Res Opin. 2005 Oct;21(10):1583-94. doi: 10.1185/030079905X61956.
6
The economics of anticoagulation: what are the issues?抗凝治疗的经济学:问题有哪些?
Am J Manag Care. 2004 Oct;10(10 Suppl):S292-6.
7
[Anticoagulation in cardioversion of atrial fibrillation. Current status and outlook for the future].[心房颤动复律中的抗凝治疗。现状与未来展望]
Med Klin (Munich). 2003 Feb 15;98(2):91-5. doi: 10.1007/s00063-003-1231-7.
8
Efficacy and safety of a pharmacist-managed inpatient anticoagulation service for warfarin initiation and titration.药师管理的住院患者抗凝治疗启动和滴定服务的疗效和安全性。
J Clin Pharm Ther. 2011 Oct;36(5):585-91. doi: 10.1111/j.1365-2710.2010.01216.x. Epub 2010 Nov 12.
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Outcomes in a Warfarin-Treated Population With Atrial Fibrillation.华法林治疗的心房颤动患者的结局。
JAMA Cardiol. 2016 May 1;1(2):172-80. doi: 10.1001/jamacardio.2016.0199.
10
Warfarin Anticoagulation and Spontaneous Pectoral Haematomas.
Heart Lung Circ. 2016 Jul;25(7):e81-4. doi: 10.1016/j.hlc.2015.10.022. Epub 2016 Feb 8.

引用本文的文献

1
Prospective alpha allocation in the Clarification of Optimal Anticoagulation through Genetics (COAG) trial.前瞻性α分配在通过遗传学优化抗凝(COAG)试验中。
Clin Trials. 2010 Oct;7(5):597-604. doi: 10.1177/1740774510381285. Epub 2010 Aug 6.
2
Warfarin therapy: in need of improvement after all these years.华法林治疗:历经多年仍需改进。
Expert Opin Pharmacother. 2008 Apr;9(5):677-86. doi: 10.1517/14656566.9.5.677.
3
Initiation of warfarin therapy: recommendations and clinical pearls.
J Thromb Thrombolysis. 1999 Apr;7(2):145-8. doi: 10.1023/a:1008833520158.