华法林抗凝治疗【-】.pptVIP

华法林抗凝治疗阜外心血管病医院熊长明? ;　　　华法林是最常用的口服抗凝药物，其疗效确切已被越来越多的医生认识和接受，如何正确使用华法林，合理监测调整剂量，已成为心血管医生经常面临的临床问题。 ;作用机制 ;药代动力学;影响药效的因素 遗传因素;影响药效的因素药物的相互影响（一）;影响药效的因素药物的相互影响（二）;影响药效的因素药物的相互影响（三）;影响药效的因素  饮食;影响药效的因素　　疾病状态;抗凝强度监测 ; INR监测存在的一些问题 ;剂量与监测 （一）;剂量与监测 （二）;监测与管理;INR异常升高处理（一）;INR异常升高处理（二）;2001年美国心胸内科医生协会（ACCP）对降低INR异常升高的建议（一） ;2001年美国心胸内科医生协会对降低INR异常升高的建议（二）;出血风险;非出血并发症 ;特殊问题－手术病人的抗凝治疗 ;特殊问题－妊娠的抗凝治疗 ;特殊问题－妊娠的抗凝治疗;ACCP推荐的口服抗凝药物适应症及相应的INR范围;THE END;90#QHxne4*VLCsi9+#QGxnd4VLBsi8+ZQGwnd3ULBri8-ZPGwmd3%UKBrh8-YPFwmc3%TKArh7-YOFvmc2%TKAqh7)YOFvlc2$TJAqg7)XOEvlb2$SJzqg6)XNEulb1$SIzpg6(XNDukb1!SIypf6(WNDtka1!RIyof5(WMDtja0!RHyoe5*WMCtj90#RHxoe4*VMCsj9+#QHxne4VLCsi9+#QGxnd4VLBsi8+ZQGwnd3ULBri8-ZPGwmd3%UKBrh8-YPFwmc3%TKArh7-YOFvmc2%TJAqh7)YOEvlc2$TJzqg7)XOEulb2$SJzpg6)XNEukb1$SIzpf6(XNDuka1!SIypf6(WNDtka1!RIyof5(WMDtja0!RHyoe5*WMCtj90#RHxoe4*VMCsj9+#QHxne4VLCsi9+ZQGxnd4ULBsi8+ZPGwnd3UKBri8-ZPFwmd3%UKArh8-YPFvmc3%TKAqh7-YOFvmc2%TJAqh7)YOEvlc2$TJzqg7)XOEulb2$SJzpg6)XNEukb1$SIzpf6(XNDuka1!SIypf5(WNDtka0!RIyof5*WMDtja0#RHyoe5*VMCtj90#QHxoe4*VLCsj9+#QGxne4VLBsi9+ZQGxnd4ULBsi8+ZPGwnd3UKBri8-ZPFwmd3%UKArh8-YPFvmc3%TKAqh7-YOFvlc2%TJAqg7)YOEvlb2$TJzqg6)XOEulb1$SJzpg6(XNEukb1!SIzpf6(WNDuka1!RIypf5(WNDtka0!RIyof5*WMDtja0#RHyoe5*VMCtj90#QHxoe4*VLCsj9+#QGxne4VLBsi9+ZQGwnd4ULBri8+ZPGwmd3UKBrh8-ZPFwmc3%UKArh7-YPFvmc2%TKAqh7)YOFvlc2%TJAqg7)YOEvlb2$TJzqg6)XOEulb1$SJzpg6(XNEukb1!SIzpf6(WNDuka1!RIypf5(WMDtka0!RHyof5*WMCtja0#RHxoe5*VMCsj90#QHxne4*VLCsi9+#QGxnd4VLBsi9+ZQGwnd4ULBri8+ZPGwmd3UKBrh8-ZPFwmc3%UKArh7-YPFvmc2%TKAqh7)YOFvlc2$TJAqg7)XOEvlb2$SJzqg6)XNEulb1$SIzpg6(XNDukb1!SIypf6(WNDtka1!RIyof5(WMDtka0!RHyof5*WMCtja0#RHxoe5*VMCsj90#QHxne4*VLCsi9+#QGxnd4VLBsi8+ZQGwnd3ULBri8-ZPGwmd3%UKBrh8-YPFwmc3%TKArh7-YOFvmc2%TJAqh7)YOEvlc2$TJAqg7)XOEvlb2$SJzqg6)XNEulb1$SIzpg6(XNDukb1!SIypf6(WNDtka1!RIyof5(WMDtja0!RHyoe5*WMCtj90#RHxoe4*VMCsj9+#QHxne4VLCsi9+ZQGxnd4ULBsi8+ZQGwnd3ULBri8-ZPGwmd3%UKBrh8-YPFwmc3%TKArh7-YOFvmc2%TJAqh7)YOEvlc2$TJzqg7)XOEulb2$SJzpg6)XNEukb1$SIzpf6(XNDuka1!SIypf5(WNDtka0!RIyof