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항혈소판제의 선택을 위하여 고려할 점

Factors to be Considered for a Choice of Antiplatelet Agents

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참고문헌

주제분류가정의학

초록

항혈소판제는 관상동맥 증후군, 허혈성 뇌졸중, 경동맥 협착을 포함한 말초혈관질환이 있는 환자의 혈전색전증의 이차예방, 심방 세동을 포함한 고 위험군의 일차예방, 혈전색전증의 급성기 치료에 도움이 된다. 아스피린은 모든 혈전색전증의 일차 선택약이며, 다른 항혈소판제는 혈전색전증의 종류, 동반 질환, 위장관 출혈 병력을 고려하여 선택될 수 있다. 항혈소판제는 장기적으로 복용해야 하므로 환자의 경제 형편, 순응도, 여명을 고려하여 선택하여야 한다. 항혈소판제 복용 중 혈전색전증이 발생하면 다른 항혈소판제로 교체하며, 항혈소판제를 병용하면 부작용이 증가할 수 있으므로 고 위험기에 한정하여 고려되어야 한다.

참고문헌 (26)

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