美国胸科医师学会发布VTE抗栓治疗指南

2016-01-11 MedSci MedSci原创

日前,美国胸科医师学会发布了静脉血栓栓塞(VTE)抗栓治疗的最新指南,包括对非维生素K拮抗剂类口服抗凝剂的使用指导。发表于《胸科》(Chest)杂志的建议最近更新或补充包括:对于腿部深静脉血栓形成(DVT)或肺栓塞(PE)的非肿瘤患者,指南建议前3个月及以后使用达比加群、利伐沙班、阿哌沙班或依度沙班,而不用维生素K拮抗剂。停止抗凝治疗的不明原因近端DVT或PE患者,如无阿司匹林禁忌,应接受阿司匹林

日前,美国胸科医师学会发布了静脉血栓栓塞(VTE)抗栓治疗的最新指南,包括对非维生素K拮抗剂类口服抗凝剂的使用指导。

发表于《胸科》(Chest)杂志的建议最近更新或补充包括:

  • 对于腿部深静脉血栓形成(DVT)或肺栓塞(PE)的非肿瘤患者,指南建议前3个月及以后使用达比加群、利伐沙班、阿哌沙班或依度沙班,而不用维生素K拮抗剂。
  • 停止抗凝治疗的不明原因近端DVT或PE患者,如无阿司匹林禁忌,应接受阿司匹林来降低VTE复发风险。
  • 对于腿部急性DVT患者,不推荐使用弹力袜来预防血栓形成后综合征(PTS)。然而,对于有PTS症状的患者,“往往可以试用逐级增压弹力袜”。
  • PE风险低的患者可以在家接受治疗或早期出院。

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    2017-12-18 1881ff5116m

    原始文章看不了!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=270262, encodeId=25022e0262df, content=原始文章看不了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8d502143137, createdName=1881ff5116m, createdTime=Mon Dec 18 08:00:17 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=100412, encodeId=989a100412bc, content=亲,现在还能给我发个链接么 <br> , beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f951938026, createdName=血管外科小乔, createdTime=Thu Aug 18 17:30:00 CST 2016, time=2016-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79781, encodeId=faefe978106, content=学习了,希望有更详细的, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Wed Apr 20 15:54:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1934790, encodeId=aa031934e90e9, content=<a href='/topic/show?id=1072646328c' target=_blank style='color:#2F92EE;'>#治疗指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64632, encryptionId=1072646328c, topicName=治疗指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Wed Nov 30 05:53:00 CST 2016, time=2016-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=57057, encodeId=916f5e057a3, content=弹力袜的使用值得思考。, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160113/IMG56963B8248B138520.jpg, createdBy=61841679327, createdName=路路, createdTime=Wed Jan 13 20:02:00 CST 2016, time=2016-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56067, encodeId=4a2c5606ec2, content=不错哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56068, encodeId=7f5156068dc, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56069, encodeId=d3ff5606914, content=赞一个, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56070, encodeId=8878560e0b5, content=牛, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56047, encodeId=1cf25604ea8, content=阿司匹林降低VTE复发风险,之前指南好象没推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4bfa83595, createdName=jetleo, createdTime=Tue Jan 12 00:33:00 CST 2016, time=2016-01-12, status=1, ipAttribution=)]
    2016-08-18 血管外科小乔

    亲,现在还能给我发个链接么

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=270262, encodeId=25022e0262df, content=原始文章看不了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8d502143137, createdName=1881ff5116m, createdTime=Mon Dec 18 08:00:17 CST 2017, time=2017-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=100412, encodeId=989a100412bc, content=亲,现在还能给我发个链接么 <br> , beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f951938026, createdName=血管外科小乔, createdTime=Thu Aug 18 17:30:00 CST 2016, time=2016-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79781, encodeId=faefe978106, content=学习了,希望有更详细的, beContent=null, objectType=article, channel=null, level=null, likeNumber=136, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Wed Apr 20 15:54:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1934790, encodeId=aa031934e90e9, content=<a href='/topic/show?id=1072646328c' target=_blank style='color:#2F92EE;'>#治疗指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64632, encryptionId=1072646328c, topicName=治疗指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Wed Nov 30 05:53:00 CST 2016, time=2016-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=57057, encodeId=916f5e057a3, content=弹力袜的使用值得思考。, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160113/IMG56963B8248B138520.jpg, createdBy=61841679327, createdName=路路, createdTime=Wed Jan 13 20:02:00 CST 2016, time=2016-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56067, encodeId=4a2c5606ec2, content=不错哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56068, encodeId=7f5156068dc, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56069, encodeId=d3ff5606914, content=赞一个, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56070, encodeId=8878560e0b5, content=牛, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRiaKicWybj5Q5KN7PWibALciaJ4W5bZwTlDSFRibFu87125pCq0IXePrC0mpbiasADRqL4NcjUoyQCT9De/0, createdBy=7c7e1636498, createdName=wzf990214, createdTime=Tue Jan 12 06:50:00 CST 2016, time=2016-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=56047, encodeId=1cf25604ea8, content=阿司匹林降低VTE复发风险,之前指南好象没推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4bfa83595, createdName=jetleo, createdTime=Tue Jan 12 00:33:00 CST 2016, time=2016-01-12, status=1, ipAttribution=)]
    2016-04-20 明崖

    学习了,希望有更详细的

    0

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    2016-01-13 路路

    弹力袜的使用值得思考。

    0

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    2016-01-12 wzf990214

    不错哦

    0

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    2016-01-12 wzf990214

    有意思

    0

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    2016-01-12 wzf990214

    赞一个

    0

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    2016-01-12 wzf990214

    0

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    2016-01-12 jetleo

    阿司匹林降低VTE复发风险,之前指南好象没推荐

    0

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