[1] CHU Nancy, Hemostase Serv Hematol Biol, Nancy, France
[2] Nancy Univ Henri Poincare, Fac Med, Nancy, France
来源:
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
|
2009年
/
28卷
关键词:
Coagulation;
Thrombin;
Anticoagulants;
DIRECT THROMBIN INHIBITOR;
ORAL DIRECT THROMBIN;
DABIGATRAN ETEXILATE;
PHARMACODYNAMICS;
PHARMACOKINETICS;
HIRUDIN;
THERAPY;
HEPARIN;
TIME;
D O I:
10.1016/S0750-7658(09)72458-X
中图分类号:
R614 [麻醉学];
学科分类号:
100217 ;
摘要:
The aim of this review is to explain the central role of thrombin in haemostasis and the main pharmacological features of the anticoagulants that are direct inhibitors of thrombin, with emphasis on orally active small molecules. Owing to the complexity of the clotting system only well designed and conducted studies can tell us which drug is the most useful, safe and convenient to limit each type of thrombosis and what are the appropriate dosage and management. Parenterally administered direct thrombin inhibitors require laboratory monitoring, whereas dabigatran, orally active, does not. (C) 2009. Elsevier Masson SAS. All rights reserved.
机构:
Washington Univ, Sch Med, Dept Biochem & Mol Biophys, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Biochem & Mol Biophys, St Louis, MO 63110 USA
机构:
Washington Univ, Sch Med, Dept Biochem & Mol Biophys, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Biochem & Mol Biophys, St Louis, MO 63110 USA