直接口服抗凝药物在肝硬化并发门静脉血栓中的治疗进展
DOI: 10.3969/j.issn.1001-5256.2023.01.031
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:王世美负责拟定写作思路,查阅文献,撰写论文;伍丽萍提供部分论文修改意见;胡玲校正文字及参考文献格式。
Advances in direct oral anticoagulants in the treatment of cirrhosis-associated portal vein thrombosis
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摘要: 门静脉血栓是肝硬化常见的并发症之一,目前主要的治疗方式是抗凝,因低分子肝素、维生素K拮抗剂为针剂或需监测国际标准化比值,而直接口服抗凝药物具有口服方便、无需监测国际标准化比值、血栓再通率高的优点,故后者成为了替代治疗的研究热点。本文通过总结直接口服抗凝药物在肝硬化并发门静脉血栓中的治疗进展,为进一步临床研究奠定基础。Abstract: Portal vein thrombosis is one of the common complications of liver cirrhosis, and anticoagulation is currently the main treatment method for this disease. Since low-molecular-weight heparin must be injected and vitamin K antagonists require regular monitoring of international normalized ratio (INR), direct oral anticoagulants have become a research hotspot in replacement therapy with the advantages of convenient oral administration, no need for INR monitoring, and high recanalization rate. This article summarizes the advances in direct oral anticoagulants in the treatment of cirrhosis-associated portal vein thrombosis, in order to lay a foundation for further clinical studies.
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Key words:
- Liver Cirrhosis /
- Anticoagulants /
- Rivaroxaban
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