| 我国非瓣膜病房颤抗凝的现状与思考 |
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| 引用本文： | 朱宁. 我国非瓣膜病房颤抗凝的现状与思考[J]. 医学与哲学(人文社会医学版), 2009, 30(3): 13-17 |
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| 作者姓名： | 朱宁 |
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| 作者单位： | 大连医科大学附属第二医院心内科,辽宁大连116027 |
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| 摘 要： | 心房纤颤增加缺血性脑中风4倍～5倍，抗凝治疗可减少60％的缺血性脑中风，但是同时会增加出血的风险，尤其是脑出血。我国是脑中风，特别是出血性脑中风的高发国家，所以对于房颤抗凝的临床决策往往偏保守，造成我国房颤患者抗凝比例很低。本文就如何在我国房颤患者中进行抗凝提出意见。
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| 关 键 词： | 房颤 抗凝强度 老人 围手术期处理 |
The Present and Clinical Practice of Non-valve Atrial Fibrillation in China |
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| ZHU Ning. The Present and Clinical Practice of Non-valve Atrial Fibrillation in China[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2009, 30(3): 13-17 |
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| Authors: | ZHU Ning |
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| Affiliation: | ZHU Ning.( The Second Affiliated Hospital of Dalian Medical University, Dalian 116027 ,China) |
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| Abstract: | Atrial fibrillation （AF） patients are widely heterogeneous in terms of isehemic stroke risk. Prophylactic anticoagulation therapy significantly reduces the incidence of thromboembolic events in patients with AF by 60%. Management of patients with AF in clinical practice represents a very low rate of anticoagulation therapy in AF patients in China due to the presumable risk of bleeding. Each approach should be chosen according to individual patient＇s circumstances and endeavor to well use the anticoagulation therapy to prevent thromboembolic events in China. |
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| Keywords: | atrial fibrillation antieoagulation intensity elder preoperative management |
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