静脉血栓栓塞的保守治疗

Simon Jirát , Michael Marx , Sudheera Magage
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引用次数: 0

摘要

静脉血栓栓塞是一种常见和严重的血管疾病,可导致严重的并发症。合理和准确的诊断有助于早期治疗,减少急性和慢性并发症的发生和严重程度。随着新型直接口服抗凝剂的引入,这种疾病的保守治疗达到了一个转折点。根据目前的指南,低分子肝素(如Fondaparinux和维生素K拮抗剂)的标准治疗仍然是临床有效的治疗选择,不仅在急性期,而且在疾病的二级和长期预防中也是如此。直接口服抗凝剂是传统抗凝剂的重要替代选择,并出现在新的ESC肺栓塞推荐中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Conservative treatment of venous thromboembolism

Venous thromboembolism is a frequent and serious vascular disease that can lead to serious complications. Rational and accurate establishment of the diagnosis enables early treatment that reduces the occurrence and severity of acute and chronic complications.

Conservative treatment of this disease has reached a turning point with the introduction of novel direct oral anticoagulants. According to present guidelines, standard treatment with low molecular heparines such as Fondaparinux and vitamine K antagonists still remain a clinically effective therapeutic option not only in the acute phase, but also in the secondary and long term prophylaxis of the disease. Direct oral anticoagulants represent an important alternative to conventional anticoagulants and appeared in new ESC recommendations of pulmonary embolism.

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