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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
引用本文:龚丽明,黄云超,程传贤.风湿性心脏病瓣膜置换术后抗凝治疗中“度”的把握[J].医学与哲学,2009(10):64-65.
作者姓名:龚丽明  黄云超  程传贤
作者单位:[1]昆明医学院第四附属医院(云南省第二人民医院)心胸外科,云南昆明650021 [2]昆明医学院第三附属医院(云南省肿瘤医院)胸心血管外科,云南昆明650118 [3]昆明医学院社科部,云南昆明650031
基金项目:(本文得到程传贤教授的悉心指导,对此表示衷心感谢!)
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,而机械辩置换者需终身抗凝,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。

关 键 词:瓣膜病  瓣膜置换  抗凝治疗  华发令

How to Do Well in Antieoagulation Treatment of Heart Valve Replacement
Institution: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)
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 mechanieal 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.
Keywords:valvular disease  heart valve replacement  anticoagulation treatment  warfarin
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