华法令在基层医院心内科的应用

Application of Warfarin in the Department of Cardiology of the Primary Hospital

探讨华法令在基层医院心内科的合理应用。结合华法令的药理作用及药效动力学,用药的适应证和禁忌证,抗凝用法,抗凝强度的监测,不良反应和并发症及其处理,影响抗凝作用的因素,长期口服华法令的手术问题处理,总结使用经验。华法令的合理应用受多方面因素的影响。全面考虑华法令所能出现的问题是基层医院心内科合理应用的前提。

Investigating how to using Warfarin rationally in the Department of Cardiology of the Primary Hospital. By reviewing the references about the pharmacological action and pharmacodynamics,indications and contraindications, usage of Warfarin, monitoring of the anticoagulation, adverse effects and complications,treatments of adverse effects and complications,influencing factors of anticogulation,preoperative treatments of the patients taking Wargarin for a long time,to summarizie the experience of the use of warfarin. Many kinds of factors can influence the rational use of Warfarin. Only all influencing factors have been thought over,and then the rational use of Warfarin can be obtained in the Department of Cardiology of the Primary Hospital.