抗凝治疗中的困惑与应对

Solving the Puzzles of Anticoagulation Therapy

在抗凝治疗中,临床医生常会遇到一些无法从各种抗凝指南或共识中直接获解的问题,包括传统抗凝药物和新型抗凝药物的适用范围、不同抗凝阶段和特殊情况下的抗凝药物选择、抗凝疗程的确定和并发症的防治,需要医生根据所学知识和临床经验,并通过查阅文献给出个体化的解决方案。本文针对上述问题提出几点见解。

During the clinical practice of anticoagulation therapy,some puzzles,including the choice between traditional anticoagulants and novel alternatives,options of anticoagulants in different phases of the therapy or under exceptional circumstances,the determination of anticoagulation course,and management of complications,cannot be solved by consulting guidelines or consensuses.The individual regimen should be worked out by physicians according to their knowledge and clinical experiences,or by reviewing the literature.Several opinions were given in this article,aiming to provide a further understanding of above questions.