首页|5例直接口服抗凝药治疗非瓣膜性房颤患者左心耳血栓的用药分析

5例直接口服抗凝药治疗非瓣膜性房颤患者左心耳血栓的用药分析

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临床药师参与5例非瓣膜性房颤合并左心耳血栓患者的抗凝治疗管理,通过患者临床表现、食道超声心动图评估药物的安全性与疗效,分析利伐沙班和艾多沙班对于协助纤溶系统溶解左心耳血栓的效果与差异。结果显示两种药物均能不同程度地促进血栓消退,血栓消退的时间可能与血栓面积以及患者心功能相关。术后临床药师结合患者肾功能与合并用药情况,为患者制定安全、有效、个体化的抗凝方案。
Analysis of 5 Cases of Direct Oral Anticoagulants in the Treatment of Left Atrial Appendage Thrombosis in Patients with Nonvalvular Atrial Fibrilla-tion
Clinical pharmacists participated in the management of anticoagulant therapy for 5 patients with nonvalvular atrial fibrillation combined with left atrial appendage thrombus.The safety and efficacy of drugs were evaluated by clinical manifestations and esophageal echocardiography.The efficacy and differ-ence of rivaroxaban and edoxaban in assisting fibrinolytic system to dissolve left atrial appendage thrombus were analyzed.The results showed that both drugs could promote the thrombus resolution to varying de-grees,and the time of thrombus resolution may be related to the thrombus area and the heart function of patients.After operation,clinical pharmacists formulated safe,effective and individualized anticoagulation regimens for patients according to their renal function and combined medications.

Clinical pharmacistNonvalvular atrial fibrillationLeft atrial appendage thrombusRi-varoxabanEdoxaban

侯凯、费禹翔、李平、张金莲、王芳、杨宇

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上海交通大学医学院附属新华医院临床药学部,上海 200092

东南大学附属中大医院药学部,南京 210009

南京市第一医院药学部,南京 210006

临床药师 非瓣膜性房颤 左心耳血栓 利伐沙班 艾多沙班

国家自然科学基金青年科学基金南京药学会常州四药医院药学科研基金

822043942022YX003

2024

药学与临床研究
江苏省药学会

药学与临床研究

CSTPCD
影响因子:0.95
ISSN:1673-7806
年,卷(期):2024.32(2)
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