{"id":89663,"date":"2019-04-18T00:00:50","date_gmt":"2019-04-23T04:11:30","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/89663\/"},"modified":"2019-04-23T12:11:32","modified_gmt":"2019-04-23T04:11:32","slug":"4b854aa424","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/89663\/","title":{"rendered":"\u623f\u98a4\u5352\u4e2d\u60a3\u8005\u4f55\u65f6\u5f00\u59cb\u6297\u51dd\uff1fESO \u6700\u65b0\u6307\u5357\u63a8\u8350"},"content":{"rendered":"
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\u4f34\u6709\u975e\u74e3\u819c\u6027<\/span>\u623f\u98a4\u7684\u7f3a\u8840\u6027\u5352\u4e2d\u6216 TIA \u60a3\u8005\u9762\u4e34\u7740\u5352\u4e2d\u590d\u53d1\u7684\u9ad8\u5371\u98ce\u9669\uff0c\u56e0\u6b64\u9700\u8981\u5bf9\u8fd9\u4e9b\u60a3\u8005\u8fdb\u884c\u79ef\u6781\u7684\u4e8c\u7ea7\u9884\u9632\u6cbb\u7597\u7b56\u7565\u3002<\/span><\/p>\n


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\u8fd1\u671f\uff0c\u6b27\u6d32\u5352\u4e2d\u7ec4\u7ec7\uff08ESO\uff09\u53d1\u5e03\u4e86\u4e00\u9879\u6709\u5173\u975e\u74e3\u819c\u6027<\/span>\u623f\u98a4\u5352\u4e2d\u60a3\u8005\u7684\u4e8c\u7ea7\u9884\u9632\u6307\u5357<\/strong>\uff0c\u5168\u9762\u56de\u987e\u4e86\u8fd1\u671f\u5728\u8be5\u9886\u57df\u9884\u9632\u548c\u6cbb\u7597\u8fdb\u5c55\u3002\u8be5\u6307\u5357\u53d1\u8868\u5728\u6700\u65b0\u4e00\u671f\u7684 European Stroke Journal \u6742\u5fd7\u4e0a\u3002\u6307\u5357\u7684\u6838\u5fc3\u63a8\u8350\u6458\u8bd1\u5982\u4e0b\u3002<\/span><\/p>\n

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\u65e2\u5f80\u8111\u51fa\u8840\u60a3\u8005\u91cd\u65b0\u5f00\u59cb\u6cbb\u7597<\/strong><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\u4e13\u5bb6\u610f\u89c1\uff1a\u5bf9\u4e8e\u6709\u8111\u51fa\u8840\u7684\u623f\u98a4\u60a3\u8005\uff0c\u5728\u8c28\u614e\u8bc4\u4f30\u98ce\u9669\u548c\u83b7\u76ca\u4e4b\u540e\uff0c\u53ef\u4ee5\u8003\u8651\u91cd\u65b0\u5f00\u59cb\u53e3\u670d\u6297\u51dd\u836f\u7269\u6cbb\u7597<\/span><\/p>\n

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\u7279\u5b9a\u4e9a\u7ec4\u60a3\u8005\u7684\u836f\u7269\u6cbb\u7597<\/strong><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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1. \u8001\u5e74\u60a3\u8005<\/span><\/strong><\/span><\/p>\n


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\u5bf9\u4e8e\u8001\u5e74\u60a3\u8005\uff0c\u5efa\u8bae\u6297\u51dd\u836f\u7269\u6cbb\u7597\u4f18\u4e8e\u6297\u8840\u5c0f\u677f\u836f\u7269\u6cbb\u7597\uff0c\u4ee5\u53ca\u4f18\u4e8e\u65e0\u6297\u51dd\u836f\u7269\u6cbb\u7597\uff08\u8bc1\u636e\u8d28\u91cf\u4f4e\uff0c\u63a8\u8350\u5f3a\u5ea6\u5f31\uff09<\/span><\/p>\n


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\u5bf9\u4e8e\u4f34\u6709\u7f3a\u8840\u6027\u5352\u4e2d\u6216 TIA \u75c5\u53f2\u7684\u975e\u74e3\u819c\u6027\u623f\u98a4\u7684\u8001\u5e74\u60a3\u8005\uff0c\u5efa\u8baeNOAC \u836f\u7269\u4f18\u4e8e\u7ef4\u751f\u7d20 K \u62ee\u6297\u5242\u6cbb\u7597\uff08\u8bc1\u636e\u8d28\u91cf\u4f4e\uff0c\u63a8\u8350\u5f3a\u5ea6\u5f31\uff09<\/span><\/p>\n


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2. \u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005<\/span><\/strong><\/span><\/p>\n


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\u5bf9\u4e8e\u6709\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u6297\u51dd\u836f\u7269\u6cbb\u7597\u4f18\u4e8e\u6297\u8840\u5c0f\u677f\u836f\u7269\u6cbb\u7597\uff0c\u4ee5\u53ca\u4f18\u4e8e\u65e0\u6297\u51dd\u836f\u7269\u6cbb\u7597\uff08\u8bc1\u636e\u8d28\u91cf\u4f4e\uff0c\u63a8\u8350\u5f3a\u5ea6\u5f31\uff09<\/span><\/p>\n


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\u5bf9\u4e8e\u6709\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005\uff0c\u5efa\u8bae NOAC \u836f\u7269\u4f18\u4e8e\u7ef4\u751f\u7d20 K \u62ee\u6297\u5242\u6cbb\u7597\uff08\u8bc1\u636e\u8d28\u91cf\u4f4e\uff0c\u63a8\u8350\u5f3a\u5ea6\u5f31\uff09<\/span><\/p>\n


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3. \u80be\u529f\u80fd\u635f\u4f24\u60a3\u8005<\/span><\/strong><\/span><\/p>\n


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\u5728\u8f7b\u5ea6\uff08CrCI 50-80 ml\/min\uff09\u53ca\u4e2d\u5ea6\uff08<50 mg\/min\uff09\u80be\u529f\u80fd\u635f\u4f24\u60a3\u8005\u4e2d\uff0c\u5efa\u8bae NOAC \u836f\u7269\u4f18\u4e8e\u7ef4\u751f\u7d20 K \u62ee\u6297\u5242\u6cbb\u7597\uff08\u8bc1\u636e\u8d28\u91cf\u4f4e\uff0c\u63a8\u8350\u5f3a\u5ea6\u5f31\uff09<\/span><\/p>\n


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4. \u5c0f\u8840\u7ba1\u75c5\u60a3\u8005<\/span><\/strong><\/span><\/p>\n


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\u4e13\u5bb6\u610f\u89c1\uff1a\u5bf9\u4e8e\u4f34\u6709\u7f3a\u8840\u6027\u5352\u4e2d\u6216 TIA \u75c5\u53f2\u7684\u975e\u74e3\u819c\u6027\u623f\u98a4\u7684\u60a3\u8005\uff0c\u662f\u5426\u9664\u51fa\u73b0\u8111\u5fae\u51fa\u8840\u4e0d\u80fd\u4f5c\u4e3a\u786e\u5b9a\u60a3\u8005\u662f\u5426\u80fd\u4f7f\u7528 NOAC \u836f\u7269\u6216\u7ef4\u751f\u7d20\u62ee\u6297\u5242\u6cbb\u7597\u7684\u4f9d\u636e\u3002<\/span><\/p>\n


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\u623f\u98a4\u60a3\u8005\u5352\u4e2d\u76f8\u5173\u7684\u4e34\u5e8a\u7814\u7a76\u8f83\u5c11\uff0c\u6b64\u6b21\u6307\u5357\u63a8\u8350\u76f8\u5f53\u4e00\u90e8\u5206\u8bc1\u636e\u7b49\u7ea7\u4f4e\uff0c\u751a\u81f3\u65e0\u6cd5\u7ed9\u51fa\u660e\u786e\u63a8\u8350\u3002\u9762\u5bf9\u8fd9\u4e9b\u60ac\u800c\u672a\u51b3\u7684\u95ee\u9898\uff0c\u4f60\u4eec\u53c8\u662f\u5982\u4f55\u5904\u7406\u7684\u5462\uff1f\u6b22\u8fce\u5728\u8bc4\u8bba\u533a\u7559\u8a00<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\u63a8\u8350\u9605\u8bfb\uff1a<\/span><\/strong><\/span><\/p>\n


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\u4e09\u53c9\u795e\u7ecf\u75db\u5982\u4f55\u6cbb\u7597\uff1fEAN \u65b0\u7248\u6307\u5357\u8fd9\u4e48\u8bf4<\/span><\/a>
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\u8111\u51fa\u8840\u6cbb\u7597\u65b9\u6848\u600e\u4e48\u9009\uff1fJAMA \u7efc\u8ff0\u544a\u8bc9\u4f60<\/span><\/a>
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2019 \u7248\u4e2d\u56fd\u8111\u8840\u7ba1\u75c5\u4e00\u7ea7\u9884\u9632\u6307\u5357\u7cbe\u5f69\u62a2\u5148\u770b | CCCD 2019<\/span><\/a>
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\u7f16\u8f91 | \u738b\u5f18<\/span>
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\u6295\u7a3f | wanghong@dxy.cn<\/span>
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\u9898\u56fe | \u7ad9\u9177\u6d77\u6d1b<\/span>
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\"\u623f\u98a4\u5352\u4e2d\u60a3\u8005\u4f55\u65f6\u5f00\u59cb\u6297\u51dd\uff1fESO<\/p>\n

\"\u623f\u98a4\u5352\u4e2d\u60a3\u8005\u4f55\u65f6\u5f00\u59cb\u6297\u51dd\uff1fESO<\/p>\n


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\u53c2\u8003\u6587\u732e\uff1a<\/span><\/p>\n


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Klijn C J M, Paciaroni M, Berge E, et al. Antithrombotic treatment for secondary prevention of stroke and other thromboembolic events in patients with stroke or transient ischemic attack and non-valvular atrial fibrillation: A European Stroke Organisation guideline[J]. European Stroke Journal, 2019: 2396987319841187.<\/span><\/p>\n


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\u70b9\u51fb\u9605\u8bfb\u539f\u6587\u4e0b\u8f7d\u6307\u5357<\/span><\/p>\n

\u2b07\ufe0e\u2b07\ufe0e<\/span>
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