{"id":4509,"date":"2023-10-26T00:23:09","date_gmt":"2023-10-25T16:23:09","guid":{"rendered":"https:\/\/tinapoint.com\/?p=4509"},"modified":"2023-10-26T00:23:10","modified_gmt":"2023-10-25T16:23:10","slug":"perioperative-anticoagulant-antiplatelet","status":"publish","type":"post","link":"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/","title":{"rendered":"\u624b\u8853\u524d\u6297\u8840\u5c0f\u677f\/\u6297\u51dd\u8840\u5291\u505c\u85e5\u539f\u5247\uff0c\u7dca\u6025\u624b\u8853\u53cd\u8f49\u5291\u8a72\u600e\u9ebc\u9078\uff1f"},"content":{"rendered":"\n<p>\u63a5\u53d7\u6297\u8840\u6813\u85e5\u7269\uff08\u5305\u62ec\u6297\u51dd\u8840\u5291\u548c\u6297\u8840\u5c0f\u677f\u5291\uff09\u4e26\u9700\u8981\u624b\u8853\u6216\u4fb5\u5165\u6027\u6aa2\u67e5\u662f\u4e00\u500b\u5e38\u898b\u7684\u81e8\u5e8a\u554f\u984c\uff0c\u7531\u65bc\u4eba\u53e3\u8001\u5316\uff0c\u81e8\u5e8a\u4e0a\u8d8a\u4f86\u8d8a\u5e38\u9047\u5230\u9019\u985e\u554f\u984c\u30022023 \u5e74 NEJM Evidence \u767c\u8868\u6709\u95dc\u624b\u8853\u505c\u85e5\u5fa9\u85e5\u7684\u5efa\u8b70\uff0c\u5305\u62ec\u6297\u51dd\u8840\u5291\u7684 warfarin\u3001\u53e3\u670d\u76f4\u63a5\u6297\u51dd\u8840\u5291DOAC\uff0c\u9084\u6709\u6297\u8840\u5c0f\u677f\u5291\u7684 aspirin\u3001P2Y12 \u6291\u5236\u5291\uff0c\u624b\u8853\u524d\u9700\u8981\u505c\u85e5\u55ce\uff1f\u8981\u7684\u8a71\uff0c\u9700\u8981\u505c\u5e7e\u5929\uff1f\u8853\u5f8c\u4f55\u6642\u8a72\u5fa9\u85e5\u5462\uff1f<\/p>\n\n\n\n<!--more-->\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_50 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\">\u5167\u5bb9\u76ee\u9304<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\" 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title=\"\u6813\u585e\u98a8\u96aa\u8a55\u4f30\">\u6813\u585e\u98a8\u96aa\u8a55\u4f30<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#Warfarin_%E5%81%9C%E5%BE%A9%E8%97%A5%E8%88%87_bridge_%E5%BB%BA%E8%AD%B0\" title=\"Warfarin \u505c\u5fa9\u85e5\u8207 bridge \u5efa\u8b70\">Warfarin \u505c\u5fa9\u85e5\u8207 bridge \u5efa\u8b70<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#DOAC_%E5%81%9C%E5%BE%A9%E8%97%A5%E5%BB%BA%E8%AD%B0\" title=\"DOAC \u505c\u5fa9\u85e5\u5efa\u8b70\">DOAC \u505c\u5fa9\u85e5\u5efa\u8b70<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#%E6%8A%97%E8%A1%80%E5%B0%8F%E6%9D%BF%E5%8A%91%E5%81%9C%E5%BE%A9%E8%97%A5%E5%BB%BA%E8%AD%B0\" title=\"\u6297\u8840\u5c0f\u677f\u5291\u505c\u5fa9\u85e5\u5efa\u8b70\">\u6297\u8840\u5c0f\u677f\u5291\u505c\u5fa9\u85e5\u5efa\u8b70<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#%E9%9C%80%E8%A6%81%E7%B7%8A%E6%80%A5%E6%89%8B%E8%A1%93%E8%A9%B2%E6%80%8E%E9%BA%BC%E8%BE%A6%EF%BC%9F%E7%9C%8B%E7%9C%8B%E6%9C%89%E5%93%AA%E4%BA%9B%E5%8F%8D%E8%BD%89%E5%8A%91%E5%8F%AF%E4%BB%A5%E7%94%A8%EF%BC%81\" title=\"\u9700\u8981\u7dca\u6025\u624b\u8853\u8a72\u600e\u9ebc\u8fa6\uff1f\u770b\u770b\u6709\u54ea\u4e9b\u53cd\u8f49\u5291\u53ef\u4ee5\u7528\uff01\">\u9700\u8981\u7dca\u6025\u624b\u8853\u8a72\u600e\u9ebc\u8fa6\uff1f\u770b\u770b\u6709\u54ea\u4e9b\u53cd\u8f49\u5291\u53ef\u4ee5\u7528\uff01<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#%E5%90%84%E9%86%AB%E9%99%A2%E5%B0%8D%E6%96%BC%E6%8A%97%E8%A1%80%E6%A0%93%E5%8A%91%E5%81%9C%E8%97%A5%E5%BE%A9%E8%97%A5%E7%9A%84%E5%8E%9F%E5%89%87\" title=\"\u5404\u91ab\u9662\u5c0d\u65bc\u6297\u8840\u6813\u5291\u505c\u85e5\u5fa9\u85e5\u7684\u539f\u5247\">\u5404\u91ab\u9662\u5c0d\u65bc\u6297\u8840\u6813\u5291\u505c\u85e5\u5fa9\u85e5\u7684\u539f\u5247<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/tinapoint.com\/perioperative-anticoagulant-antiplatelet\/#%E7%B5%90%E8%AA%9E\" title=\"\u7d50\u8a9e\">\u7d50\u8a9e<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%89%8D%E8%A8%80\"><\/span><strong>\u524d\u8a00<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u8fd1\u5e7e\u5e74\u624b\u8853\u505c\u5fa9\u85e5\u7684\u8b70\u984c\u771f\u7684\u5f88\u592f\uff0c\u5c24\u5176\u662f\u91ab\u5b78\u4e2d\u5fc3\u8a55\u9451\u7684 2.6.5 \u65b0\u589e\u689d\u6587\u63d0\u5230\uff1a\u300c\u80fd\u4ee5\u8cc7\u8a0a\u7cfb\u7d71\u5354\u52a9\u641c\u5c0b\u75c5\u4eba\u662f\u5426\u670d\u7528\u53ef\u80fd\u5f71\u97ff\u624b\u8853\u9ebb\u9189\u5b89\u5168\u4e4b\u85e5\u54c1\uff0c\u5982\u6297\u51dd\u8840\u5291\u8207\u6297\u8840\u5c0f\u677f\u88fd\u5291\uff0c\u4ee5\u63d0\u793a\u91ab\u5e2b\u505c\u85e5\u300d\uff0c\u96d6\u7136\u53ea\u662f\u8a66\u8fa6\u689d\u6587\uff0c\u4f46\u6211\u76f8\u4fe1\u5404\u5927\u91ab\u9662\u90fd\u975e\u5e38\u82e6\u60f1\uff0c\u95dc\u65bc\u6297\u8840\u5c0f\u677f\/\u6297\u51dd\u8840\u5291\u505c\u85e5\u8a72\u5982\u4f55\u7ba1\u7406\u3002<\/p>\n\n\n\n<p>2023 \u5e74 5 \u6708\uff0cNEJM Evidence \u767c\u8868\u6709\u95dc\u624b\u8853\u505c\u85e5\u5fa9\u85e5\u7684\u5efa\u8b70\uff0c\u5305\u62ec\u6297\u51dd\u8840\u5291\u7684 warfarin\u3001\u53e3\u670d\u76f4\u63a5\u6297\u51dd\u8840\u5291 DOAC\uff0c\u9084\u6709\u6297\u8840\u5c0f\u677f\u5291\u7684 aspirin\u3001P2Y12 \u6291\u5236\u5291\uff0c\u7d71\u7a31\u70ba\u6297\u8840\u6813\u85e5\u7269\u3002<\/p>\n\n\n\n<p>\u5230\u5e95\u624b\u8853\u524d\u8981\u4e0d\u8981\u505c\u85e5\uff1f\u8a72\u505c\u5e7e\u5929\uff1f\u4f60\u77e5\u9053\u55ce\uff1f<\/p>\n\n\n\n<p class=\"box\"><strong>\u2605 \u9ede\u6211\u958b\u555f<span style=\"text-decoration: underline;\"><a href=\"https:\/\/drive.google.com\/file\/d\/1Zm3unLGkoKcq-AYDDWpHQR5n3tcy65PW\/view\" data-type=\"link\" data-id=\"https:\/\/drive.google.com\/file\/d\/1Zm3unLGkoKcq-AYDDWpHQR5n3tcy65PW\/view\" target=\"_blank\" rel=\"noreferrer noopener\">\u539f\u59cb\u6587\u737b<\/a><\/span> \u2605<\/strong><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%89%8B%E8%A1%93%E5%87%BA%E8%A1%80%E9%A2%A8%E9%9A%AA%E8%A9%95%E4%BC%B0\"><\/span><strong>\u624b\u8853\u51fa\u8840\u98a8\u96aa<\/strong>\u8a55\u4f30<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u8a55\u4f30\u6297\u8840\u6813\u85e5\u7269\u505c\u85e5\u8207\u5426\u4e4b\u524d\uff0c\u5f97\u5148\u4e86\u89e3\u57f7\u884c\u624b\u8853\u7684\u51fa\u8840\u98a8\u96aa\uff0c\u5982\u679c\u662f\u51fa\u8840\u98a8\u96aa\u5f88\u4f4e\u7684\u8853\u5f0f\uff0c\u53cd\u800c\u4e0d\u9700\u8981\u505c\u85e5\uff0c\u907f\u514d\u589e\u52a0\u6813\u585e\u7684\u98a8\u96aa\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-1024x576.jpg\" alt=\"\" class=\"wp-image-4504\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-1.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u9ad8\u51fa\u8840\u98a8\u96aa\u624b\u8853\u6709\u54ea\u4e9b\uff1f<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-1024x576.jpg\" alt=\"\" class=\"wp-image-4505\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-2.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u4e2d\/\u4f4e\u51fa\u8840\u98a8\u96aa\u624b\u8853\u5217\u8868<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-1024x576.jpg\" alt=\"\" class=\"wp-image-4506\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-3.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u6975\u4f4e\u51fa\u8840\u98a8\u96aa\u624b\u8853\u5217\u8868<\/figcaption><\/figure>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong>\u6839\u64da\u6587\u737b\uff0c\u51fa\u8840\u98a8\u96aa\u5206\u70ba\u4e09\u500b\u7b49\u7d1a\uff1a<\/strong><\/p>\n\n\n\n<ul>\n<li>\u9ad8\u51fa\u8840\u98a8\u96aa\uff1a30 \u5929\u5167\u91cd\u5927\u51fa\u8840\u98a8\u96aa\u8d85\u904e 2%\uff0c\u8868\u793a\u51fa\u8840\u5f88\u5e38\u898b\uff0c\u6216\u5c0d\u81e8\u5e8a\u5f71\u97ff\u5f88\u5927<\/li>\n\n\n\n<li>\u4f4e\u51fa\u8840\u98a8\u96aa\uff1a30 \u5929\u5167\u91cd\u5927\u51fa\u8840\u98a8\u96aa\u4ecb\u65bc 0-2%\uff0c\u51fa\u8840\u5f88\u5c11\u898b\uff0c\u6216\u5c0d\u81e8\u5e8a\u5f71\u97ff\u5f88\u5c0f<\/li>\n\n\n\n<li>\u6975\u4f4e\u51fa\u8840\u98a8\u96aa\uff1a30 \u5929\u5167\u91cd\u5927\u51fa\u8840\u98a8\u96aa\u63a5\u8fd1 0%\uff0c\u901a\u5e38\u4e0d\u9808\u505c\u7528\u6297\u8840\u6813\u85e5\u7269<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<p>\u4f46\u51fa\u8840\u98a8\u96aa\u9019\u4ef6\u4e8b\u60c5\uff0c\u5176\u5be6\u4e5f\u6eff\u96e3\u5b9a\u7fa9\u3002<\/p>\n\n\n\n<p>\u8209\u4f8b\u4f86\u8aaa\uff0c\u76ae\u819a\u624b\u8853\u51fa\u8840\u91cf 10 mL \u611f\u89ba\u6c92\u4ec0\u9ebc\uff0c\u4f46\u5982\u679c\u662f\u8166\u51fa\u8840 10 mL\uff0c\u90a3\u53ef\u4e0d\u662f\u958b\u73a9\u7b11\u7684\uff01<\/p>\n\n\n\n<p>\u6240\u4ee5\u5f88\u96e3\u4ee5\u300c\u51fa\u8840\u91cf\u591a\u5be1\u300d\u5b9a\u7fa9\u51fa\u8840\u98a8\u96aa\u3002<\/p>\n\n\n\n<p>\u5916\u79d1\u91ab\u5e2b\u4e5f\u6709\u548c\u6211\u5206\u4eab\uff0c\u624b\u8853\u7684\u51fa\u8840\u98a8\u96aa\uff0c\u6709\u6642\u5019\u53cd\u800c\u548c\u958b\u5200\u7684\u4eba\u662f\u8ab0\uff0c\u6709\u5f88\u5927\u7684\u95dc\u4fc2\u5594 XD<\/p>\n\n\n\n<div style=\"height:80px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group list\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>\u6211\u5bb6\u91ab\u9662\u70ba\u4e86\u57f7\u884c\u624b\u8853\u505c\u85e5\u5fa9\u85e5\u7684\u5c08\u6848\uff0c\u6709\u7279\u5225\u548c\u9662\u5167\u76f8\u95dc\u79d1\u5225\u8abf\u67e5\u8853\u5f0f\u7684\u51fa\u8840\u98a8\u96aa\uff0c\u4e26\u4e14\u5efa\u7acb\u4e86\u4e00\u500b\u67e5\u8a62\u7db2\u7ad9\uff0c\u6709\u9700\u8981\u53ef\u4ee5\u53c3\u8003\u4f7f\u7528\uff1a<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-fill\"><a class=\"wp-block-button__link has-vivid-cyan-blue-background-color has-background wp-element-button\" href=\"https:\/\/abiding-attempt-04c.notion.site\/f5cb7b2803ca4fd5b51a07c4d7c656b1\" target=\"_blank\" rel=\"noreferrer noopener\">\u624b\u8853\u51fa\u8840\u98a8\u96aa\u67e5\u8a62<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%A0%93%E5%A1%9E%E9%A2%A8%E9%9A%AA%E8%A9%95%E4%BC%B0\"><\/span><strong>\u6813\u585e\u98a8\u96aa\u8a55\u4f30<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-1024x576.jpg\" alt=\"\" class=\"wp-image-4507\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-4.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u9ad8\u6813\u585e\u98a8\u96aa\u8005\uff0cwarfarin \u7684\u91dd\u5291\u6297\u51dd\u8840\u5291 bridge \u5efa\u8b70<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u5c0d\u65bc\u4f7f\u7528 warfarin \u8005\uff0c\u9700\u8981\u8003\u91cf\u75c5\u4eba\u672c\u8eab\u7684\u6813\u585e\u98a8\u96aa\uff0c\u82e5\u6813\u585e\u98a8\u96aa\u9ad8\uff0c\u7406\u61c9\u4f4f\u9662\u63a5\u53d7\u91dd\u5291\u6297\u51dd\u8840\u5291 bridge\uff0c\u4e5f\u5c31\u662f\u5728 warfarin \u505c\u85e5\u5230\u5fa9\u85e5 INR \u9054\u6a19\u4e4b\u524d\uff0c\u4f7f\u7528 heparin \u6216 enoxaparin \u7dad\u6301\u6297\u51dd\u8840\u6548\u679c\uff0c\u907f\u514d\u7522\u751f\u6813\u585e\u4e8b\u4ef6\u3002<\/p>\n\n\n\n<p>\u591a\u6578\u4f7f\u7528 warfarin \u7684\u9069\u61c9\u75c7\u4e0d\u5916\u4e4e\u74e3\u819c\u7f6e\u63db\u3001\u975c\u8108\u6813\u585e\u4e8b\u4ef6\u6216\u5fc3\u623f\u986b\u52d5\uff0c\u53ef\u4ee5\u53c3\u8003\u4e0a\u5716\uff0c\u75c5\u4eba\u6709\u300c\u9ad8\u6813\u585e\u98a8\u96aa\uff08\u9ec3\u8272\u5e95\uff09\u300d\u60c5\u5f62\u6642\u5c31\u5efa\u8b70\u8981 bridge \u91dd\u5291\u6297\u51dd\u8840\u5291\u3002<\/p>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/clinical-pharmacist\/\">\u3010\u5206\u4eab\u3011\u91ab\u9662\u81e8\u5e8a\u85e5\u5e2b\u505a\u4ec0\u9ebc\uff1f\u4f60\u61c9\u8a72\u77e5\u9053\u768415\u9805\u5de5\u4f5c\u5167\u5bb9<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Warfarin_%E5%81%9C%E5%BE%A9%E8%97%A5%E8%88%87_bridge_%E5%BB%BA%E8%AD%B0\"><\/span><strong>Warfarin \u505c\u5fa9\u85e5\u8207 bridge \u5efa\u8b70<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-1024x576.jpg\" alt=\"\" class=\"wp-image-4498\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-5.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Warfarin \u624b\u8853\u505c\u5fa9\u85e5\u5efa\u8b70<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Warfarin \u7684\u534a\u8870\u671f\u9577\u9054 36-42 \u5c0f\u6642\uff0c\u9664\u4e86\u6975\u4f4e\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff0c\u5efa\u8b70\u505c\u85e5\u81f3\u5c11 5 \u5929\uff0c\u6709\u4e5d\u6210\u7684\u4eba\u53ef\u4ee5\u8b93 INR\uff1c1.4\uff0c\u4e0d\u904e\u8853\u524d\u9084\u662f\u9700\u8981\u62bd\u8840\u9a57\u4e00\u4e0b INR\u3002<\/p>\n\n\n\n<p>\u6709\u4e9b\u75c5\u4eba\u53ef\u80fd warfarin \u8981\u505c\u85e5\u66f4\u4e45\uff0c\u5c24\u5176\u662f\u8001\u5e74\u4eba\u3001\u6709\u4f75\u7528\u548c warfarin \u4ea4\u4e92\u4f5c\u7528\u5f71\u97ff\u4ee3\u8b1d\u7684\u85e5\u7269\u3001INR\uff1e3.5\u3001\u6216\u662f INR \u5e73\u6642\u63a7\u5236\u5728 2.5-3.5 \u7684\u65cf\u7fa4\u3002<\/p>\n\n\n\n<p>\u7531\u65bc warfarin \u7684\u8d77\u6548\u6642\u9593\u5f88\u4e45\uff08slow onset\uff09\uff0c\u5efa\u8b70\u8853\u5f8c 24 \u5c0f\u6642\u5167\u5c31\u53ef\u4ee5\u5fa9\u85e5\uff0c\u751a\u81f3\u662f\u624b\u8853\u7576\u5929\u665a\u4e0a\u5c31\u53ef\u4ee5\u5fa9\u85e5\u3002<\/p>\n\n\n\n<p>\u6587\u737b\u4e2d\u5efa\u8b70\u91dd\u5291\u6297\u51dd\u8840\u5291\u9078\u64c7<mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u4f4e\u5206\u5b50\u91cf\u809d\u7d20\uff08low-molecular weight heparin, LMWH\uff09<\/mark>\uff0c\u4ee3\u8868\u85e5\u7269\u70ba enoxaparin\u3002<\/p>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u9ad8\u6813\u585e\u98a8\u96aa\u65cf\u7fa4\uff0c\u6839\u64da\u624b\u8853\u51fa\u8840\u98a8\u96aa\u7684\u4e0d\u540c\uff0c\u6c7a\u5b9a\u91dd\u5291\u6297\u51dd\u8840\u5291\u8853\u5f8c\u7684\u8d77\u59cb\u6642\u9593\uff1a<\/mark><\/strong><\/p>\n\n\n\n<ul>\n<li><strong>\u6975\u4f4e\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff1a<\/strong>\u672c\u4f86\u5c31\u4e0d\u9700\u8981\u505c\u7528\u6297\u51dd\u8840\u5291\uff0c\u7dad\u6301 warfarin \u4f7f\u7528\u5373\u53ef\u3002<\/li>\n\n\n\n<li><strong>\u4f4e\/\u4e2d\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff1a<\/strong>\u8853\u524d 5 \u5929\u505c\u7528 warfarin\uff0c\u8853\u524d 3 \u5929\u7d66\u4e88 enoxaparin 1 mg\/kg BID \u81f3\u8853\u524d 1 \u5929\u505c\u85e5\uff0c\u8853\u5f8c\u7576\u5929\u665a\u4e0a\u6216\u9694\u5929 warfarin \u5fa9\u85e5\uff0c\u8853\u5f8c\u4e00\u5929\u52a0\u4e0a enoxaparin 1 mg\/kg BID \u81f3 INR \u9054\u6cbb\u7642\u5340\u9593\u3002<\/li>\n\n\n\n<li><strong>\u9ad8\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff1a<\/strong>\u8853\u524d 5 \u5929\u505c\u7528 warfarin\uff0c\u8853\u524d 3 \u5929\u7d66\u4e88 enoxaparin 1 mg\/kg BID \u81f3\u8853\u524d 1 \u5929\u505c\u85e5\uff0c\u8853\u5f8c\u7576\u5929\u665a\u4e0a\u6216\u9694\u5929 warfarin \u5fa9\u85e5\uff0c\u8853\u5f8c 24-72 \u5c0f\u6642\u52a0\u4e0a\u4f4e\u5291\u91cf enoxaparin 40mg QD\uff0c\u8853\u5f8c 2-3 \u5929\u589e\u52a0\u81f3 1 mg\/kg BID\uff0c\u76f4\u5230 INR \u9054\u6cbb\u7642\u5340\u9593\u3002<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<p>\u4e0d\u904e\u4ee5\u4e0a\u7684\u505c\u5fa9\u85e5\u5efa\u8b70\uff0c\u9084\u662f\u8981\u4f9d\u7167\u5916\u79d1\u91ab\u5e2b\u7684\u5efa\u8b70\u70ba\u4e3b\uff0c\u8853\u5f8c\u5fa9\u85e5\u4e5f\u5fc5\u9808\u78ba\u5b9a\u6c92\u6709\u51fa\u8840\u7591\u616e\u4e86\u624d\u80fd\u9032\u884c\u3002<\/p>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/warfarin-fruit\/\">WARFARIN \u6297\u51dd\u8840\u5291\u4e0d\u80fd\u5403\u4ec0\u9ebc\u6c34\u679c\uff1f\u67098\u985e\u6c34\u679c\u9700\u8981\u7279\u5225\u5c0f\u5fc3<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"DOAC_%E5%81%9C%E5%BE%A9%E8%97%A5%E5%BB%BA%E8%AD%B0\"><\/span><strong>DOAC \u505c\u5fa9\u85e5\u5efa\u8b70<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>DOAC \u7684\u534a\u8870\u671f\u6bd4 warfarin \u77ed\u5f88\u591a\uff0c\u5927\u7d04 10-14 \u5c0f\u6642\uff0c\u5982\u679c\u814e\u529f\u80fd\u4e0d\u826f\u5247\u5ef6\u9577\u5230 18-24 \u5c0f\u6642\uff0c\u56e0\u6b64\u505c\u5fa9\u85e5\u7b56\u7565\u4e3b\u8981\u8003\u91cf\u814e\u529f\u80fd\u3002<\/p>\n\n\n\n<p>DOAC \u8d77\u6548\u6642\u9593\u4e5f\u5f88\u5feb\uff0c\u670d\u85e5\u5f8c\u7d04 2-3 \u5c0f\u6642\u5c31\u6709\u6548\u679c\uff0c\u6240\u4ee5\u901a\u5e38\u300c\u4e0d\u9700\u8981\u300d bridge \u91dd\u5291\u6297\u51dd\u8840\u5291\u3002<\/p>\n\n\n\n<p>\u5c0d\u65bc<strong>\u300c\u6975\u4f4e\u300d\u51fa\u8840\u98a8\u96aa\u7684\u624b\u8853<\/strong>\uff0c\u6bd4\u5982\u5fc3\u81df\u7bc0\u5f8b\u5668\u6216\u53bb\u986b\u5668\u690d\u5165\u3001\u5c0f\u578b\u7259\u79d1\u624b\u8853\u3001\u76ae\u819a\u624b\u8853\uff0c\u90fd\u6709\u767c\u8868\u904e DOAC \u505c\u5fa9\u85e5\u7814\u7a76\uff0c\u7d50\u679c\u986f\u793a\u624b\u8853\u671f\u9593\u6301\u7e8c\u4f7f\u7528 DOAC \u662f\u5b89\u5168\u7684\uff0c\u4e0d\u9700\u8981\u7279\u5225\u505c\u85e5\u3002<\/p>\n\n\n\n<p>\u5982\u679c\u9084\u662f\u64d4\u5fc3\uff0c\u53ef\u4ee5\u907f\u958b DOAC peak \u6642\u9593\u9032\u884c\u624b\u8853\uff0c\u6bd4\u5982 QD \u7528\u85e5\u5ef6\u9072\u5230\u624b\u8853\u5f8c\u518d\u5403\uff0cBID \u7528\u85e5\u7701\u7565\u624b\u8853\u7576\u5929\u65e9\u4e0a\u7684\u5291\u91cf\u3002<\/p>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/018-doac-indication-dose\/\">\u3010\u8b80\u66f8\u7b46\u8a18\u3011DOAC\u9069\u61c9\u75c7\u8207\u5291\u91cf\u8abf\u6574\u5168\u653b\u7565<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-1024x576.jpg\" alt=\"\" class=\"wp-image-4499\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-6.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">DOAC \u624b\u8853\u505c\u5fa9\u85e5\u5efa\u8b70<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u4f4e\/\u4e2d\u51fa\u8840\u98a8\u96aa \u548c \u9ad8\u51fa\u8840\u98a8\u96aa\u624b\u8853\u7684 DOAC \u505c\u5fa9\u85e5\u5efa\u8b70\u5982\u4e0a\u5716\u6240\u793a\uff0c\u4e3b\u8981\u53c3\u8003 2019 \u5e74\u767c\u8868\u7684 PAUSE trial\u3002<\/p>\n\n\n\n<p>PAUSE trial \u7e3d\u5171\u6536\u9304 3009 \u4f4d\u670d\u7528 DOAC \u7684\u5fc3\u623f\u986b\u52d5\u60a3\u8005\uff081257 on apixaban, 668 on dabigatran, and 1082 on rivaroxaban\uff09\uff0c\u6839\u64da DOAC \u7684\u85e5\u7269\u52d5\u529b\u5b78\u7279\u6027\u6c7a\u5b9a\u505c\u5fa9\u85e5\u6642\u9593\uff0c\u7d50\u679c\u986f\u793a 30 \u5929\u5167\u570d\u624b\u8853\u671f\u6813\u585e\u4e8b\u4ef6\u98a8\u96aa\u4f4e\u65bc 1%\uff0830-day perioperative rates of thromboembolism 0.16\uff5e0.60%\uff09\uff0c\u91cd\u5927\u51fa\u8840\u98a8\u96aa\u4f4e\u65bc 2%\uff08major bleeding 0.9\uff5e1.85%\uff09\u3002<\/p>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong>DOAC \u505c\u85e5\u5efa\u8b70\uff0c\u7e3d\u7d50\u4f86\u8aaa\uff1a<\/strong><\/p>\n\n\n\n<p><strong>Xa \u6291\u5236\u5291\uff08Apixaban\u3001Rivaroxaban\u3001Edoxaban\uff09<\/strong><\/p>\n\n\n\n<ul>\n<li>\u4f4e\u51fa\u8840\u98a8\u96aa\uff1a\u8853\u524d\u505c\u85e5 1 \u5929<\/li>\n\n\n\n<li>\u9ad8\u51fa\u8840\u98a8\u96aa\uff1a\u8853\u524d\u505c\u85e5 2 \u5929<\/li>\n<\/ul>\n\n\n\n<p><strong>IIa \u6291\u5236\u5291\uff0cDabigatran\uff1a<\/strong>\u5fc5\u9808\u8003\u91cf\u814e\u529f\u80fd\uff0cCCr \uff1c50 mL\/min \u6700\u4e45\u505c\u85e5 4 \u5929\uff0c\u814e\u529f\u80fd\u826f\u597d\u505c\u85e5 1-2 \u5929\u5373\u53ef\u3002<\/p>\n<\/div><\/div>\n\n\n\n<p>\u6211\u6709\u807d\u8aaa\u67d0\u4e9b\u91ab\u5e2b\u76f4\u63a5\u8a18\u61b6 DOAC \u6700\u4e45\u505c\u85e5 4 \u5929 XD <\/p>\n\n\n\n<p>\u6587\u737b\u4e2d\u6709\u7279\u5225\u63d0\u5230\uff0c\u690e\u7ba1\u5167\uff08\u810a\u9ad3\/\u786c\u819c\u5916\uff09\u9ebb\u9189\u6216\u624b\u8853\uff08\u4f8b\u5982\u795e\u7d93\u6839\u963b\u65b7\uff09\uff3bneuraxial (spinal\/epidural) anesthesia or a procedure (e.g., nerve root block)\uff3d\uff0c\u8003\u91cf\u5176\u98a8\u96aa\u66f4\u9ad8\uff0cDOAC \u53ef\u80fd\u8981\u505c\u85e5 3 \u5929\u4ee5\u4e0a\uff0c\u5efa\u8b70\u8aee\u8a62\u9ebb\u9189\u79d1\u91ab\u5e2b\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong>DOAC \u624b\u8853\u5f8c\u5fa9\u85e5<\/strong>\u5c31\u4e0d\u7528\u8003\u616e\u814e\u529f\u80fd\u4e86\uff0c\u5efa\u8b70\u5982\u4e0b\uff1a<\/p>\n\n\n\n<p><strong>\u4f4e\/\u4e2d\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff1a<\/strong>DOAC \u8853\u5f8c 24 \u5c0f\u6642\u5167\u5fa9\u85e5\u3002<\/p>\n\n\n\n<p><strong>\u9ad8\u51fa\u8840\u98a8\u96aa\u624b\u8853\uff1a<\/strong>DOAC \u8853\u5f8c 48-72 \u5c0f\u6642\u5fa9\u85e5\uff0c\u5982\u679c\u5f88\u64d4\u5fc3\u75c5\u4eba\u7684\u6813\u585e\u98a8\u96aa\uff0c\u4e5f\u662f\u53ef\u4ee5\u5728\u8853\u5f8c 48 \u5c0f\u6642 bridge \u4f4e\u5291\u91cf enoxaparin\uff0c\u4f46\u4e0d\u9700\u8981\u548c DOAC \u91cd\u758a\uff08DOAC onset \u5f88\u5feb\uff09\u3002<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/doac-score\/\">DOAC SCORE\uff1a\u6bd4HAS-BLES\u66f4\u6e96\u78ba\u7684\u51fa\u8840\u9810\u6e2c\u91cf\u8868\uff01<\/a><\/strong><\/p>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/compass-rivaroxaban\/\">\u3010COMPASS\u3011RIVAROXABAN\uff1a\u7b2c\u4e00\u500b\u7528\u65bc\u52d5\u8108\u75be\u75c5\u7684\u53e3\u670d\u6297\u51dd\u8840\u5291<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%8A%97%E8%A1%80%E5%B0%8F%E6%9D%BF%E5%8A%91%E5%81%9C%E5%BE%A9%E8%97%A5%E5%BB%BA%E8%AD%B0\"><\/span><strong>\u6297\u8840\u5c0f\u677f\u5291\u505c\u5fa9\u85e5\u5efa\u8b70<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-1024x576.jpg\" alt=\"\" class=\"wp-image-4518\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-11.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u6297\u8840\u5c0f\u677f\u5291\u624b\u8853\u505c\u5fa9\u85e5\u5efa\u8b70<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Aspirin \u7684\u505c\u5fa9\u85e5\u5efa\u8b70\u5728\u4e0d\u540c\u6307\u5f15\u5dee\u7570\u9817\u5927\uff0c\u9084\u8981\u8003\u91cf\u5230\u75c5\u4eba\u4f7f\u7528 aspirin \u7684\u9069\u61c9\u75c7\u3002<\/p>\n\n\n\n<p>\u5982\u679c\u662f\u56e0\u70ba<mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\"><strong>\u7a69\u5b9a\u51a0\u5fc3\u75c5<\/strong><\/mark>\u4f7f\u7528 aspirin\uff0c\u4e14\u5c1a\u7121\u63a5\u53d7\u904e\u51a0\u72c0\u52d5\u8108\u8840\u7ba1\u91cd\u5efa\uff08\u6bd4\u5982\u5fc3\u5c0e\u7ba1\u7f6e\u653e\u652f\u67b6\u3001\u6216\u51a0\u72c0\u52d5\u8108\u7e5e\u9053\u624b\u8853 CABG\uff09\uff0c\u8981\u9032\u884c\u9ad8\u51fa\u8840\u98a8\u96aa\u624b\u8853\u524d\uff0c\u53ef\u4ee5\u8003\u616e <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\"><strong>aspirin \u505c\u85e5 7-10 \u5929<\/strong><\/mark>\u3002<\/p>\n\n\n\n<p>\u4f46\u5982\u679c\u5df2\u7d93\u63a5\u53d7\u904e\u8840\u7ba1\u624b\u8853\uff08\u4f8b\u5982\u9838\u52d5\u8108\u5167\u819c\u525d\u96e2\u8853\uff09\u3001\u6700\u8fd1\u525b\u767c\u751f\u5fc3\u808c\u6897\u585e\uff08\u4e0d\u52301\u5e74\uff09\uff0c\u6216\u5df2\u7d93\u63a5\u53d7\u904e\u51a0\u72c0\u52d5\u8108\u8840\u7ba1\u91cd\u5efa\u7684\u75c5\u4eba\uff0c\u56e0\u70ba\u6813\u585e\u98a8\u96aa\u8f03\u9ad8\uff0c\u6bd4\u8f03\u50be\u5411\u570d\u624b\u8853\u671f\u7e8c\u7528 aspirin\uff0c\u4f46\u5982\u679c\u6709\u9ad8\u51fa\u8840\u98a8\u96aa\u7591\u616e\uff0c\u9084\u662f\u53ef\u4ee5\u505c\u85e5\u7684\u3002<\/p>\n\n\n\n<p>\u5982\u679c\u75c5\u4eba<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u9810\u8a08\u63a5\u53d7\u7684\u624b\u8853\u662f\u51a0\u72c0\u52d5\u8108\u7e5e\u9053\u624b\u8853 CABG\uff0c\u53cd\u800c\u5efa\u8b70\u624b\u8853\u671f\u9593\u6301\u7e8c\u4f7f\u7528 aspirin<\/mark><\/strong>\uff0c\u7814\u7a76\u986f\u793a\u53ef\u4ee5\u964d\u4f4e\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u7684\u767c\u751f\uff0c\u800c\u4e0d\u589e\u52a0\u51fa\u8840\u98a8\u96aa\u3002<\/p>\n\n\n\n<p>\u6211\u5bb6\u5fc3\u5916\u91ab\u5e2b\u8aaa\uff1a\u300cCABG \u90fd\u8981\u6253 heparin \u4e86\uff0caspirin \u7b97\u4ec0\u9ebc XD\u300d<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">P2Y12 \u6291\u5236\u5291\u7684\u505c\u85e5\u5efa\u8b70\u5c31\u6bd4\u8f03\u4e00\u81f4\uff1a<\/mark><\/strong><\/p>\n\n\n\n<ul>\n<li>Ticagrelor\uff1a\u534a\u8870\u671f\u6700\u77ed\uff0c\u8853\u524d\u505c\u85e5 3-5 \u5929<\/li>\n\n\n\n<li>Clopidogrel\uff1a\u8853\u524d\u505c\u85e5 5 \u5929<\/li>\n\n\n\n<li>Prasugrel\uff1a\u8853\u524d\u505c\u85e5 7-10 \u5929\uff0c\u53f0\u7063\u4eff\u55ae\u751a\u81f3\u5beb\u8981\u505c\u85e5 14 \u5929<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<p>\u624b\u8853\u4e4b\u5f8c\uff0c\u82e5\u7121\u51fa\u8840\u7591\u616e\uff0c\u5efa\u8b70 24 \u5c0f\u6642\u5167\u52a0\u56de P2Y12 \u6291\u5236\u5291\uff0c\u7562\u7adf\u9084\u8981\u7b49\u4e00\u6bb5\u6642\u9593\u624d\u6703\u6709\u85e5\u6548\u3002<\/p>\n\n\n\n<p>\u6307\u5f15\u4e2d\u63d0\u5230\uff0caspirin \u7528\u85e5\u5f8c\u5e7e\u5206\u9418\u5167\u5c31\u53ef\u4ee5\u9054\u5230\u6700\u5927\u7684\u6297\u8840\u5c0f\u677f\u6548\u61c9\uff0cticagrelor \u57282\u5c0f\u6642\u5167\u9054\u5230\uff0cprasugrel \u5927\u7d04\u9700\u8981 3 \u5929\uff0cclopidogrel \u6700\u4e45\uff0c\u9700\u8981 4-5 \u5929\u624d\u80fd\u9054\u5230\u6700\u5927\u6297\u8840\u5c0f\u677f\u6548\u61c9\u3002<\/p>\n\n\n\n<p>\u81f3\u65bc\u8981\u4e0d\u8981\u4f7f\u7528 cangrelor\uff08\u91dd\u5291\u6297\u8840\u5c0f\u677f\u85e5\u7269\uff09\u9032\u884c bridge\uff0c\u5176\u5be6\u4e0d\u5efa\u8b70\u5e38\u898f\u7d66\u4e88\uff0c\u570b\u5167\u76ee\u524d\u4e5f\u6c92\u6709\u9019\u500b\u85e5\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/r002\/\">\u3010\u6587\u737b\u5c0e\u8b80\u3011\u6d41\u611f\u75ab\u82d7\u964d\u4f4e\u5fc3\u808c\u6897\u585e\u75c5\u4eba\u98a8\u96aa<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E9%9C%80%E8%A6%81%E7%B7%8A%E6%80%A5%E6%89%8B%E8%A1%93%E8%A9%B2%E6%80%8E%E9%BA%BC%E8%BE%A6%EF%BC%9F%E7%9C%8B%E7%9C%8B%E6%9C%89%E5%93%AA%E4%BA%9B%E5%8F%8D%E8%BD%89%E5%8A%91%E5%8F%AF%E4%BB%A5%E7%94%A8%EF%BC%81\"><\/span><strong>\u9700\u8981\u7dca\u6025\u624b\u8853\u8a72\u600e\u9ebc\u8fa6\uff1f\u770b\u770b\u6709\u54ea\u4e9b\u53cd\u8f49\u5291\u53ef\u4ee5\u7528\uff01<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u4fd7\u8a71\u8aaa\uff0c\u5929\u6709\u4e0d\u6e2c\u98a8\u96f2\uff0c\u4eba\u6709\u65e6\u5915\u798d\u798f\uff5e<\/p>\n\n\n\n<p>\u7814\u7a76\u986f\u793a\uff0c\u63a5\u53d7\u6297\u51dd\u8840\u5291\u6cbb\u7642\u8005\uff0c\u7d04\u6709 2-3% \u9700\u8981 emergency surgery\uff08\u57286\u5c0f\u6642\u5167\uff09\u6216 urgent surgery\uff08\u572824\u5c0f\u6642\u5167\uff09\u3002<\/p>\n\n\n\n<p>\u670d\u7528\u6297\u51dd\u8840\u5291\u537b\u9047\u5230\u8eca\u798d\uff0c\u9700\u8981\u7dca\u6025\u624b\u8853\u8a72\u600e\u9ebc\u8fa6\uff1f<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-1024x576.jpg\" alt=\"\" class=\"wp-image-4502\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-9.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Warfarin \u4e09\u7a2e\u53cd\u8f49\u5291\u4f5c\u7528\u6642\u9593\u6bd4\u8f03<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-1024x576.jpg\" alt=\"\" class=\"wp-image-4503\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-10.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Beriplex (PCC) \u5065\u4fdd\u7d66\u4ed8\u898f\u5b9a<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-1024x576.jpg\" alt=\"\" class=\"wp-image-4501\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-1024x576.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-768x432.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-1170x659.jpg 1170w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8-585x329.jpg 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/10\/\u624b\u8853\u505c\u85e5\u5fa9\u85e5-8.jpg 1279w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u6297\u51dd\u8840\u5291\u7684\u53cd\u8f49\u5291\u9078\u64c7<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u5982\u679c\u662f\u670d\u7528 warfarin\uff0c\u53ef\u4ee5\u5148\u62bd\u8840\u9a57 INR\uff0cINR\uff1c2.0 \u53ef\u80fd\u4e0d\u9700\u8981\u9032\u4e00\u6b65\u8655\u7f6e\u3002<\/p>\n\n\n\n<p>\u82e5 INR\uff1e2.0\uff0c\u5c31\u4e0d\u5efa\u8b70\u76f4\u63a5\u624b\u8853\u3002<\/p>\n\n\n\n<p>\u5c0d\u65bc\u4e0b\u964d INR\uff0c\u6700\u5e38\u807d\u5230\u7684\u5c31\u662f\u6253\u4e00\u91dd vitamin K \u4e86\u5427\uff01<\/p>\n\n\n\n<p>\u4f46\u5176\u5be6 vitamin K \u7684 onset \u6bd4\u60f3\u50cf\u7684\u8981\u4e45\u7684\u591a\uff0c4-12 \u5c0f\u6642\u624d\u80fd\u767c\u63ee\u4f5c\u7528\u3002<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\"><strong>Warfarin \u53cd\u8f49\u5291\u6700\u63a8\u85a6\u7684\u5176\u5be6\u662f PCC\uff0conset \u5feb\uff0c\u4e14\u6709\u7814\u7a76\u6307\u51fa\u80fd\u4e0b\u964d\u91cd\u5927\u51fa\u8840\u4e8b\u4ef6\u98a8\u96aa\uff0c\u5065\u4fdd\u4e5f\u6709\u7d66\u4ed8\u3002<\/strong><\/mark><\/p>\n\n\n\n<p>\u9664\u6b64\u4e4b\u5916\u4e5f\u53ef\u4ee5\u7d66\u65b0\u9bae\u51b7\u51cd\u8840\u6f3f FFP\uff0c\u4f46\u9808\u8981\u9032\u884c\u8840\u578b\u4ea4\u53c9\u914d\u5c0d\u548c\u89e3\u51cd\u7684\u6b65\u9a5f\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u5982\u679c\u75c5\u4eba\u662f\u4f7f\u7528 DOAC\uff0c\u5c31\u8981\u770b\u662f\u670d\u7528\u54ea\u7a2e DOAC\u3002<\/p>\n\n\n\n<p>Dabigatran \u6700\u958b\u5fc3\uff0c\u53ef\u4ee5\u76f4\u63a5\u6253\u5169\u5291\u55ae\u682a\u6297\u9ad4 idarucizumab\uff0c\u5feb\u901f\u4e2d\u548c\u85e5\u7269\u6548\u679c\uff0c\u5065\u4fdd\u4e5f\u6709\u7d66\u4ed8\u3002<\/p>\n\n\n\n<p>\u53e6\u5916\u4e09\u7a2e Xa inhibitors \u7684 DOAC \u5c31\u6bd4\u8f03\u9ebb\u7169\uff0c\u552f\u4e00\u53cd\u8f49\u5291 andexanet \u570b\u5167\u9084\u6c92\u6709\uff0c\u53ea\u80fd\u7528 PCC\uff0c\u4f46\u9808\u8981\u81ea\u8cbb\uff0c60 kg \u6210\u5e74\u4eba\u9700\u8981 3-6 \u74f6\uff0c\u8981\u81ea\u8cbb 3-6 \u842c\uff0c\u901a\u5e38\u91ab\u5e2b\u807d\u5230\u9019\u908a\u5c31\u6253\u9000\u5802\u9f13\u4e86\uff0c\u60f3\u8aaa DOAC \u534a\u8870\u671f\u77ed\uff0c\u518d\u7b49\u4e00\u4e0b\u85e5\u7269\u6548\u679c\u4e5f\u5c31\u904e\u4e86\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/pharmacist-clinic\/\">\u85e5\u5e2b\u9580\u8a3a\u7518\u82e6\u8ac7\uff1f\u6297\u51dd\u8840\u85e5\u5e2b\u9580\u8a3a\u5efa\u7f6e\u7d93\u9a57\u5206\u4eab!!<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%90%84%E9%86%AB%E9%99%A2%E5%B0%8D%E6%96%BC%E6%8A%97%E8%A1%80%E6%A0%93%E5%8A%91%E5%81%9C%E8%97%A5%E5%BE%A9%E8%97%A5%E7%9A%84%E5%8E%9F%E5%89%87\"><\/span><strong>\u5404\u91ab\u9662\u5c0d\u65bc\u6297\u8840\u6813\u5291\u505c\u85e5\u5fa9\u85e5\u7684\u539f\u5247<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u5176\u5be6\u6eff\u591a\u91ab\u9662\u90fd\u6709\u6574\u7406\u81ea\u5df1\u7684\u505c\u5fa9\u85e5\u6307\u5f15\uff0c\u6574\u7406\u5982\u4e0b\uff1a<\/p>\n\n\n\n<ul>\n<li><a href=\"https:\/\/www.vghtpe.gov.tw\/pharm\/Fpage.action?muid=13264&amp;fid=12271\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.vghtpe.gov.tw\/pharm\/Fpage.action?muid=13264&amp;fid=12271\" rel=\"noreferrer noopener\">\u53f0\u5317\u69ae\u7e3d<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.vghtc.gov.tw\/UploadFiles\/WebFiles\/WebPagesFiles\/Files\/b42127d5-417d-4633-bc37-e7305d652e04\/201703%E6%89%8B%E8%A1%93%E5%89%8D%E8%97%A5%E5%93%81%E5%81%9C%E7%94%A8%E5%BB%BA%E8%AD%B0%E8%A1%A8-%E8%97%A5%E5%AD%B8%E9%83%A8.pdf\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.vghtc.gov.tw\/UploadFiles\/WebFiles\/WebPagesFiles\/Files\/b42127d5-417d-4633-bc37-e7305d652e04\/201703%E6%89%8B%E8%A1%93%E5%89%8D%E8%97%A5%E5%93%81%E5%81%9C%E7%94%A8%E5%BB%BA%E8%AD%B0%E8%A1%A8-%E8%97%A5%E5%AD%B8%E9%83%A8.pdf\" rel=\"noreferrer noopener\">\u53f0\u4e2d\u69ae\u7e3d<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.pulivh.gov.tw\/UploadFiles\/WebFiles\/WebPagesFiles\/Files\/bd9e3a05-dae1-4220-b858-44d7c5528ed8\/10%20%E6%8A%97%E5%87%9D%E8%A1%80%E8%97%A5%E8%88%87%E6%8A%97%E8%A1%80%E5%B0%8F%E6%9D%BF%E8%97%A5%E6%89%8B%E8%A1%93%E5%89%8D%E5%BE%8C%E5%81%9C%E7%94%A8%E6%99%82%E9%96%93%E5%BB%BA%E8%AD%B0%E8%A1%A8.pdf\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.pulivh.gov.tw\/UploadFiles\/WebFiles\/WebPagesFiles\/Files\/bd9e3a05-dae1-4220-b858-44d7c5528ed8\/10%20%E6%8A%97%E5%87%9D%E8%A1%80%E8%97%A5%E8%88%87%E6%8A%97%E8%A1%80%E5%B0%8F%E6%9D%BF%E8%97%A5%E6%89%8B%E8%A1%93%E5%89%8D%E5%BE%8C%E5%81%9C%E7%94%A8%E6%99%82%E9%96%93%E5%BB%BA%E8%AD%B0%E8%A1%A8.pdf\" rel=\"noreferrer noopener\">\u53f0\u4e2d\u69ae\u7e3d-\u57d4\u91cc\u5206\u9662<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/epaper.ntuh.gov.tw\/health\/201604\/project_3.html\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/epaper.ntuh.gov.tw\/health\/201604\/project_3.html\" rel=\"noreferrer noopener\">\u53f0\u5927\u91ab\u9662<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.femh.org.tw\/magazine\/viewmag?ID=10053\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.femh.org.tw\/magazine\/viewmag?ID=10053\" rel=\"noreferrer noopener\">\u4e9e\u6771\u91ab\u9662<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.tyh.com.tw\/medweb\/data\/usemed\/security\/security010.pdf\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.tyh.com.tw\/medweb\/data\/usemed\/security\/security010.pdf\" rel=\"noreferrer noopener\">\u6771\u5143\u91ab\u9662<\/a><\/li>\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%B5%90%E8%AA%9E\"><\/span><strong>\u7d50\u8a9e<\/strong><span 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