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中国药学(英文版) ›› 2025, Vol. 34 ›› Issue (10): 967-972.DOI: 10.5246/jcps.2025.10.072

• 【研究论文】 • 上一篇    

1例房颤伴Ⅲ度房室传导阻滞的高龄患者行起搏器植入术围手术期抗凝治疗的病例分析

杨珍珍, 孙倩, 袁叶, 张志清*()   

  1. 河北医科大学第二医院药学部, 河北 石家庄 050017
  • 收稿日期:2025-05-07 修回日期:2025-06-18 接受日期:2025-06-30 出版日期:2025-11-03 发布日期:2025-11-03
  • 通讯作者: 张志清

A case analysis of perioperative anticoagulation therapy in an elderly patient with atrial fibrillation with grade III atrioventricular block undergoing pacemaker implantation

Zhenzhen Yang, Qian Sun, Ye Yuan, Zhiqing Zhang*()   

  1. Department of Pharmacy, The second hospital of Hebei Medical University, Shijiazhuang 050017, Hebei, China
  • Received:2025-05-07 Revised:2025-06-18 Accepted:2025-06-30 Online:2025-11-03 Published:2025-11-03
  • Contact: Zhiqing Zhang
  • Supported by:
    Health Commission of Hebei Province (Grant No. 20230529).

摘要:

本研究旨在通过分析1例关于起搏器植入术的高龄房颤(Atrial fibrillation, AF)患者围手术期抗凝治疗过程, 探索该患者的最佳抗凝策略, 以此提示药师关注高龄患者围手术期的个体化抗凝方案, 尤其是当合并多个出血危险因素(低体重、肾功能不全), 为临床合理用药提供建议。

关键词: 高龄, 围手术期, 抗凝治疗

Abstract:

In the present study, we analyzed the perioperative anticoagulation treatment process for an elderly patient with atrial fibrillation (AF) who underwent pacemaker implantation to identify the optimal anticoagulation strategy. The goal was to emphasize the importance of individualized anticoagulation regimens during the perioperative period for elderly patients, particularly in cases where multiple bleeding risk factors, such as low body weight and renal insufficiency, are present. Additionally, we aimed to provide recommendations for the rational use of medications in clinical practice.

Key words: Advanced age, Perioperative period, Anticoagulant therapy

Supporting: