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1、心胸麻醉进展心胸麻醉进展VAT房颤射频消融术房颤射频消融术术后术后6m有效率有效率90%TEE排除左心耳血栓排除左心耳血栓胸外除颤电极胸外除颤电极无需肝素化无需肝素化OLV麻醉体会麻醉体会较侧卧易低氧症;阻断较侧卧易低氧症;阻断肺静脉时低血压。肺静脉时低血压。ADVANCES IN HEMATOLOGYThe Oral Factor Xa Inhibitors Rivaroxaban 利伐沙班,Apixaban 阿哌沙班 拮抗药物尚处于研究阶段,prothrombin complexThrombin InhibitorsDabigatran 达比加群,快速起效,无需监测,但没有拮抗剂。其导致的
2、严重出血需要recombinant activated factor VII治疗Blood ConservationPreoperative Interventions for Blood Conservation1.Erythropoeitin2.Antifibrinolytic Therapy3.Fresh Frozen Plasma,Recombinant factor VIIa,Factor XIII,Factor IX4.Leukoreduction,platelet plasmapharesis,and blood salvage are all components of a multimodal approach to optimize perioperative transfusion practice.结束语结束语谢谢大家聆听!谢谢大家聆听!12