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服用华法林的母亲可以母乳喂养婴儿吗?

May mothers given warfarin breast-feed their infants?

作者信息

Orme M L, Lewis P J, de Swiet M, Serlin M J, Sibeon R, Baty J D, Breckenridge A M

出版信息

Br Med J. 1977 Jun 18;1(6076):1564-5. doi: 10.1136/bmj.1.6076.1564.

DOI:10.1136/bmj.1.6076.1564
PMID:871666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1607348/
Abstract

Warfarin was measured with a sensitive and specific method in the plasma and breast milk of 13 mothers. Less than 0-08 micronmol warfarin per litre (25 ng/ml) of breast milk was found in each instance. Seven of the mothers were breast-feeding their infants, in none of whom was warfarin detected in the plasma; furthermore, in three the British corrected ratio of the plasma was appreciably less than that of the mother and was within the expected range. We conclude that nursing mothers given warfarin may safely breast-feed their infants.

摘要

采用灵敏且特异的方法检测了13位母亲血浆和母乳中的华法林。每次母乳中检测到的华法林含量均低于每升0.08微摩尔(25纳克/毫升)。7位母亲在母乳喂养婴儿,其婴儿血浆中均未检测到华法林;此外,其中3位母亲血浆的英国校正比值明显低于其自身,且处于预期范围内。我们得出结论,服用华法林的哺乳期母亲可以安全地母乳喂养婴儿。

相似文献

1
May mothers given warfarin breast-feed their infants?服用华法林的母亲可以母乳喂养婴儿吗?
Br Med J. 1977 Jun 18;1(6076):1564-5. doi: 10.1136/bmj.1.6076.1564.
2
Excretion of anticoagulants in human milk.抗凝剂在人乳中的排泄。
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Drugs and chemicals: exposure of the nursing mother.药物与化学物质:哺乳期母亲的接触情况
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Feeding and urine cotinine values in babies whose mothers smoke.母亲吸烟的婴儿的喂养情况及尿可替宁值
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Should women taking antituberculosis drugs breast-feed?正在服用抗结核药物的女性可以母乳喂养吗?
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Breast-feeding and infant health.母乳喂养与婴儿健康。
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本文引用的文献

1
Studies on the coumarin anticoagulant drugs: interaction of human plasma albumin and warfarin sodium.香豆素类抗凝药物的研究:人血浆白蛋白与华法林钠的相互作用
J Clin Invest. 1967 May;46(5):829-37. doi: 10.1172/JCI105582.
2
Warfarin metabolites: the anticoagulant activity and pharmacology of warfarin alcohols.华法林代谢产物:华法林醇的抗凝活性及药理作用
J Lab Clin Med. 1973 Jun;81(6):925-31.
3
Kinetics of warfarin absorption in man.华法林在人体中的吸收动力学。
Clin Pharmacol Ther. 1973 Nov-Dec;14(6):955-61. doi: 10.1002/cpt1973146955.
4
Breast-feeding and anticoagulant therapy.母乳喂养与抗凝治疗。
Lancet. 1970 Mar 28;1(7648):672-3. doi: 10.1016/s0140-6736(70)90902-5.
5
The British system for anticoagulant control.英国的抗凝控制体系。
Thromb Diath Haemorrh. 1975 Apr 30;33(2):157-62.