成功的纳法莫斯塔特甲基酸盐对安德克萨尼特阿尔法诱导的肝素耐药性进行了治疗
Atsuhiro Kitaura1, Tatsushige Iwamoto1, Shinichi Hamasaki1
1Anesthesiology, Kindai University, Osaka, JPN.
Cureus
|September 25, 2023
概括
在手术前使用了抗凝血剂的解毒剂Andexanet alfa. 肝素在心肺绕道术期间失败了抗凝剂,需要纳法莫斯塔特酸盐才能成功进行手术和康复.
科学领域:
- 麻醉学 麻醉学
- 心血管外科心血管外科
- 药理学 药理学是指药理学的学科.
背景情况:
- 安德克萨内特阿尔法是抗Xa因子抗凝剂的逆转剂,对于在直接口服抗凝剂治疗期间控制出血至关重要.
- 麻醉师在涉及心肺旁路手术的抗凝管理方面面临挑战,特别是在肝素耐药的情况下.
- 需要心肺旁路的急性大动脉剖析呈现出复杂的抗凝管理场景.
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