Low molecular weight heparins as thromboprophylaxis in patients undergoing hemodialysis/hemofiltration or continuous renal replacement therapies

被引:0
作者
Sagedal, S
Hartmann, A
机构
[1] Univ Oslo, Rikshosp, Dept Internal Med, N-0027 Oslo, Norway
[2] Univ Oslo, Rikshosp, Lab Renal Physiol, N-0027 Oslo, Norway
关键词
low molecular weight heparin; dalteparin; nadroparin; enoxaparin; tinzaparin; reviparin; logiparin; parnaparin; ardeparin; berniparin; hemodialysis; hemofiltration; hemodiafiltration; continuous renal replacement therapy;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Low molecular weight heparins (LMWHs) have potential advantages over unfractionated hep-arin (UFH). They interact less with platelets and may induce less bleeding. The risk for heparin induced thrombocytopenia is less, and the effect on serum lipids is favourable. The half-life is longer, allowing for one single bolus dose at start of hemo-dialysis (HD). In addition, LMWH is found to result in lower plasma potassium in HD patients compared to UFH. LMWHs have an established role in HD and he-mofiltration (HF), but the reports on their efficacy and safety during continuous renal replacement therapy (CRRT) are scarce.
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页码:125 / 130
页数:6
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