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MedicalCareer版 - 问个step1一道题,
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相关话题的讨论汇总
话题: aspirin话题: dvt话题: thrombi话题: used话题: warfarin
进入MedicalCareer版参与讨论
1 (共1页)
j**********0
发帖数: 391
1
treatment of DVT is warfarin, not aspirin. while Aspirin is used to prevent
heart attack. Both disease are caused be thrombi, why treatment is different
? Thanks.
f*******l
发帖数: 606
2
Warfarin is blocking the synthesis of VitK dependent clotting factors. Used
to prevent deep venous thrombosis. It takes few days to demonstrate effect.
When Pt has acute chest syndrome, aspirin and heparin are used to stop the
further development of preexisting clots.
j**********0
发帖数: 391
3
Aspirin is also used to prevent thrombi formation. But I don't know why
aspirin is the option for acute coronary syndrome, but not for DVT.
Is this caused by the difference of artery vs venous, or pathogenesis of
thrombi (one is platelet mediated vs coagulation factors mediated)?
Thanks.
r******9
发帖数: 197
4
两者治疗目标不同:1.治疗DVT是要预防PE的形成--首先抗凝 2.治疗冠脉综合症是为了
血管再通--防止形成更大的血栓。不知道这样说对不对,还请xdjm看过来。
j******1
发帖数: 138
5
Wafarin从不用于CAD,只用于DVT和pulmonary embolus. Aspirin用于acute coronary
syndrome,而且是第一时间,Heparin在进行PCI的1时候使用而且是暂时的。
j**********0
发帖数: 391
6
我就是想不明白为什么都是影响血栓形成,为什么aspirin不是首先治疗DVT的。

【在 j******1 的大作中提到】
: Wafarin从不用于CAD,只用于DVT和pulmonary embolus. Aspirin用于acute coronary
: syndrome,而且是第一时间,Heparin在进行PCI的1时候使用而且是暂时的。

m*****e
发帖数: 42
7
Which medicine should be used for brain ischemia stroke prevention? Aspirin
or warfarin?
l*******d
发帖数: 449
8
CAD was caused by activation of platelet. However DVT was caused by sluggish
of blood stream coagulation factors play the main role

Aspirin
★ 发自iPhone App: ChineseWeb 7.8

【在 m*****e 的大作中提到】
: Which medicine should be used for brain ischemia stroke prevention? Aspirin
: or warfarin?

A*******s
发帖数: 9638
9
Either is fine, it depends on patient's condition, eg, a-fib.
Medicine is science, but science is not all medicine is about. We used to
use Coumadin for non A-fib related stroke, but studies show aspirin does
same as Coumadin w/o coumadin's high risk of bleeding. This is so called
evidence based medicine.
Regarding LZ's question, the answer is not in the pharmacology, or pathology
, or biochemistry. Simply go online, google the DVT, found out those
clinical trials and learn what evidence based medicine is.

Aspirin
★ 发自iPhone App: ChineseWeb 7.8

【在 m*****e 的大作中提到】
: Which medicine should be used for brain ischemia stroke prevention? Aspirin
: or warfarin?

j**********0
发帖数: 391
10
感谢A大的回复

pathology

【在 A*******s 的大作中提到】
: Either is fine, it depends on patient's condition, eg, a-fib.
: Medicine is science, but science is not all medicine is about. We used to
: use Coumadin for non A-fib related stroke, but studies show aspirin does
: same as Coumadin w/o coumadin's high risk of bleeding. This is so called
: evidence based medicine.
: Regarding LZ's question, the answer is not in the pharmacology, or pathology
: , or biochemistry. Simply go online, google the DVT, found out those
: clinical trials and learn what evidence based medicine is.
:
: Aspirin

1 (共1页)
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话题: aspirin话题: dvt话题: thrombi话题: used话题: warfarin