| 高龄房颤并发栓塞的华法林抗凝效果及护理观察 |
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| 引用本文： | 周叶英,徐冬梅,任秀红,王建文.高龄房颤并发栓塞的华法林抗凝效果及护理观察[J].医学检验与临床,2011,22(3):26-27. |
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| 作者姓名： | 周叶英 徐冬梅 任秀红 王建文 |
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| 作者单位： | 山东大学附属省千佛山医院老年病科,山东济南,250014 |
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| 摘 要： | 目的 观察华法林对高龄患者房颤并发栓塞的抗凝剂量、效果和副作用.方法 华法林2.5mg/片,每日1次早饭后口服,维持剂量为（2.26±0.30）mg,监测国际标准化比率（INR）.结果 华法林在10.6±3.5d内使INR达标（1.5～2.5）,这一维持剂量的出血副作用轻微.结论 高龄房颤患者并发脑栓塞和下肢动脉栓塞后,华法林的应用没有特殊要求,以较普通人小的剂量可使INR达标.
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| 关 键 词： | 心房颤动 栓塞 华法林 |
Warfarin Anticoagulation Effect and Nursing Observation of Very Old-aged Patients with Atrial Fibrillation Complicating Embolism |
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| Zhou Yeying,Xu Dongmei,Ren Xiuhong,Wang Jianwen.Warfarin Anticoagulation Effect and Nursing Observation of Very Old-aged Patients with Atrial Fibrillation Complicating Embolism[J].Medical Laboratory Science and Clinics,2011,22(3):26-27. |
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| Authors: | Zhou Yeying Xu Dongmei Ren Xiuhong Wang Jianwen |
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| Institution: | et al. (The geriatric department of Shandong University affiliated Provincial Qianfoshan Hospital, Jinan 250014 CHINA) |
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| Abstract: | Objective To observe the effect of Warfarin anticoagulafion and assessing its side reaction on patients of atrial fibriliation complieating embolism. Methods Eighteen old - aged cases of atrial fibrillation complicating embolism were given warfarin tablets once a day＇. The international normalization ratio was monitored strictly. Result The maintaining dose 2.26 ± 0.30mg of Warfarin can control INR to 1.5 - 2.5 within 10.6 ± 3 .Sdays and without severe bleeding side effects. Conclusion Among old - aged patients with atrial fibrillation complicating, embohsm of brain and lower extremity arteries, a smaller dose of warfarin can react comparing the ordinary adults. |
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| Keywords: | Atrial fibrillation Embolism Warfarin |
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