| 育龄女性人工机械瓣膜替换术后抗凝治疗随访 |
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| 引用本文： | 李惠君,贾雷,江萍,孙诚川,王伯杰,林世平. 育龄女性人工机械瓣膜替换术后抗凝治疗随访[J]. 中国循环杂志, 1994, 0(12) |
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| 作者姓名： | 李惠君 贾雷 江萍 孙诚川 王伯杰 林世平 |
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| 作者单位： | 长春市吉林省人民医院心脏外科 |
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| 摘 要： | 作者对６５例年龄在１７～４５岁的育龄女性人工机械瓣膜替换术后抗凝治疗进行了随访。随访时间为１～１４年。通过对本组病例的随访观察认为，只要患者术后心功能恢复良好，选用的机械瓣膜口径够大，以及妊娠期间将华法林的用量减少，妊娠分娩也并非禁忌。另外，减少抗凝药物的用量，也可以防止该年龄段的女性月经期经血量过多及脑出血的发生。本文还对感染性心内膜炎的患者抗凝药物的用量进行了论述。
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| 关 键 词： | 人工机械瓣膜，育龄女性，术后抗凝治疗 |
THE FOLLOW UP OF ANTICOAGULATION IN FERTILE WOMEN WITH HEART VALVE REPLACEMENT |
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| Li Hui-Jun,Jia Lei,Jiang Ping,et al.. THE FOLLOW UP OF ANTICOAGULATION IN FERTILE WOMEN WITH HEART VALVE REPLACEMENT[J]. Chinese Circulation Journal, 1994, 0(12) |
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| Authors: | Li Hui-Jun Jia Lei Jiang Ping et al. |
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| Abstract: | Sixty five cases of anticoagulation treatment in fertile women aged 17 to 45 years with heart valve replacement were followed up.The follow up time was 1-14 years.The result suggests that if the cardiac function is good,the dosage of warfarin might be lowered during gestation,and delivery is not contraindicated.Lowering the dosage of anticoagulant can also prevent polymenorrhagia,cerebral hemorrhage and infection in patients of this age group. |
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| Keywords: | Prosthetic disc heart valve Fertile women Anticoagulation |
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