{"id":1053,"date":"2016-12-12T09:42:35","date_gmt":"2016-12-12T01:42:35","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1053"},"modified":"2017-05-04T14:45:01","modified_gmt":"2017-05-04T06:45:01","slug":"%e5%bf%83%e8%a1%80%e7%ae%a1%e7%96%be%e7%97%85%e6%82%a3%e8%80%85%e4%bd%bf%e7%94%a8%e8%a1%80%e5%b0%8f%e6%9d%bf%e8%97%a5%e7%89%a9%e8%a1%9b%e6%95%99%e7%9f%a5%e8%ad%98","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1053","title":{"rendered":"\u3010\u5fc3\u81df\u5167\u79d1\u3011\u5fc3\u8840\u7ba1\u75be\u75c5\u60a3\u8005\u4f7f\u7528\u8840\u5c0f\u677f\u85e5\u7269\u885b\u6559\u77e5\u8b58"},"content":{"rendered":"

\u6587\/\u5fc3\u81df\u5167\u79d1\u00a0\u856d\u6587\u667a \u91ab\u5e2b<\/h4>\n

\u7531\u65bc\u73fe\u4eca\u793e\u6703\u98f2\u98df\u7fd2\u6163\u3001\u58d3\u529b\u53ca\u751f\u6d3b\u578b\u614b\u7684\u6539\u8b8a\uff0c\u5fc3\u8840\u7ba1\u75be\u75c5\u5df2\u7d93\u6210\u70ba\u76f8\u7576\u666e\u904d\u7684\u6587\u660e\u75c5\u3002\u76f8\u5c0d\u5730\uff0c\u8d8a\u4f86\u8d8a\u591a\u7a2e\u985e\u7684\u85e5\u7269\u554f\u4e16\uff0c\u4ee5\u6e1b\u5c11\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u767c\u751f\u53ca\u76f8\u95dc\u4f75\u767c\u75c7\uff1b\u5176\u4e2d\u6700\u91cd\u8981\u7684\u83ab\u904e\u65bc\u6297\u8840\u5c0f\u677f\u85e5\u7269\u3002<\/p>\n

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2016\u5e74\u7f8e\u570b\u5fc3\u81df\u5b78\u6703\u91dd\u5c0d\u51a0\u5fc3\u75c7\u7684\u75c5\u4eba\u4f7f\u7528\u5169\u7a2e\u4ee5\u4e0a\u6297\u8840\u5c0f\u677f\u85e5\u7269\u5728\u4e0d\u540c\u7684\u81e8\u5e8a\u72c0\u6cc1\u4e0b\uff0c\u63d0\u51fa\u4e86\u660e\u78ba\u7684\u6307\u5f15\u3002\u5728\u6b64\u5c07\u65bd\u884c\u51a0\u72c0\u52d5\u8108\u6574\u5f62\u8853\u7684\u75c5\u4eba\u4f7f\u7528\u6297\u8840\u5c0f\u677f\u85e5\u7269\u4e4b\u91cd\u9ede\u6574\u7406\u5982\u4e0b\uff1a<\/p>\n

\u4e00\u3001\u6025\u6027\u51a0\u5fc3\u75c7\u75c5\u4eba<\/p>\n

    \n
  1. \u6709\u63a5\u53d7\u51a0\u72c0\u52d5\u8108\u4ecb\u5165\u8853\u53ca\u652f\u67b6\u7f6e\u653e\u7684\u75c5\u4eba\uff0c\u4e0d\u7ba1\u662f\u88dd\u7f6e\u88f8\u91d1\u5c6c\u652f\u67b6\u6216\u662f\u5857\u85e5\u652f\u67b6\uff0c\u7686\u5efa\u8b70\u4f7f\u7528\u5169\u7a2e\u6297\u8840\u5c0f\u677f\u85e5\u7269\uff0c\u4e26\u4e14\u5408\u4f75\u4f7f\u752812\u500b\u6708\u3002\u5efa\u8b70\u4f7f\u7528\u7684\u85e5\u7269\u5305\u62ec\uff1aclopidogrel\u3001ticagrelor\u6216\u662fprasugrel\u3002<\/li>\n
  2. \u6297\u8840\u5c0f\u677f\u85e5\u7269\u7684\u9078\u64c7\u4e0a\uff0cticagrelor\u512a\u65bcclopidogrel\uff0c\u800c\u904e\u53bb\u6c92\u6709\u4e2d\u98a8\u6216\u662f\u66ab\u6642\u8166\u90e8\u7f3a\u8840\u75c5\u53f2\u7684\u60a3\u8005\uff0c\u767c\u751f\u6025\u6027\u51a0\u5fc3\u75c7\u6642\u9078\u64c7prasugrel \u4e5f\u512a\u65bcclopidogrel\u3002<\/li>\n
  3. \u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u7684\u60a3\u8005\uff0c\u5018\u82e5\u51fa\u8840\u7684\u98a8\u96aa\u4e0d\u9ad8\uff0c\u4ee5\u53ca\u6c92\u6709\u767c\u751f\u660e\u986f\u7684\u51fa\u8840\u4e8b\u4ef6\uff0c\u5ef6\u9577\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u8d85\u904e\u4e00\u5e74\u662f\u53ef\u4ee5\u8003\u616e\u3002<\/li>\n
  4. \u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u60a3\u8005\uff0c\u82e5\u5c6c\u65bc\u9ad8\u51fa\u8840\u98a8\u96aa\u6216\u662f\u66fe\u767c\u751f\u904e\u660e\u986f\u7684\u51fa\u8840\u4e8b\u4ef6\uff0c\u5247\u8003\u616e\u53ea\u4f7f\u7528\u534a\u5e74\u7684\u6297\u8840\u5c0f\u677f\u85e5\u7269\u3002<\/li>\n<\/ol>\n

     <\/p>\n

    \u4e8c\u3001\u7a69\u5b9a\u6027\u7f3a\u8840\u6027\u5fc3\u81df\u75c5\u8b8a<\/p>\n

      \n
    1. \u82e5\u63a5\u53d7\u51a0\u72c0\u52d5\u8108\u6574\u5f62\u8853\uff0c\u4f9d\u64da\u4f7f\u7528\u91d1\u5c6c\u652f\u67b6\u6216\u662f\u5857\u85e5\u652f\u67b6\uff0c\u6709\u4e0d\u540c\u7684\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u4f7f\u7528\u6642\u9593\u5efa\u8b70\uff1a\n
        \n
      1. \u63a5\u53d7\u91d1\u5c6c\u652f\u67b6\u7f6e\u653e\u8005\uff0c\u5efa\u8b70\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u81f3\u5c111\u500b\u6708\u3002\u75c5\u4eba\u82e5\u51fa\u8840\u98a8\u96aa\u4e0d\u9ad8\u53ca\u6c92\u6709\u767c\u751f\u904e\u660e\u986f\u7684\u51fa\u8840\u4e8b\u4ef6\uff0c\u5247\u53ef\u8003\u616e\u5ef6\u9577\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u8d85\u904e\u4e00\u500b\u6708\uff0c\u5efa\u8b70\u4f7f\u7528\u7684\u6297\u8840\u5c0f\u677f\u85e5\u7269\u70baclopidogrel\u3002<\/li>\n
      2. \u82e5\u60a3\u8005\u63a5\u53d7\u5857\u85e5\u652f\u67b6\u7f6e\u653e\uff0c\u5efa\u8b70\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u81f3\u5c116\u500b\u6708\u3002\u75c5\u4eba\u82e5\u51fa\u8840\u98a8\u96aa\u4e0d\u9ad8\uff0c\u4ee5\u53ca\u6c92\u6709\u767c\u751f\u904e\u660e\u986f\u7684\u51fa\u8840\u4e8b\u4ef6\uff0c\u53ef\u4ee5\u8003\u616e\u5ef6\u9577\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u8d85\u904e6\u500b\u6708\u3002\u53cd\u4e4b\uff0c\u60a3\u8005\u82e5\u5c6c\u65bc\u9ad8\u51fa\u8840\u98a8\u96aa\u6216\u662f\u66fe\u767c\u751f\u904e\u660e\u986f\u7684\u51fa\u8840\u4e8b\u4ef6\uff0c\u5247\u53ef\u4ee5\u8003\u616e\u7e2e\u77ed\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u81f3\u5c113\u500b\u6708\u3002\u5efa\u8b70\u4f7f\u7528\u7684\u6297\u8840\u5c0f\u677f\u85e5\u7269\u70baclopidogrel\u3002<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

         <\/p>\n

        \u4e09\u3001\u91dd\u5c0d\u54ea\u4e00\u7a2e\u75c5\u4eba\u63a5\u53d7\u5ef6\u9577\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u4f7f\u7528\u671f\u9593\u80fd\u5920\u7372\u5f97\u8f03\u591a\u7684\u597d\u8655\uff0c\u53ef\u4ee5\u8a08\u7b97\u75c5\u4eba\u7684DAPT score (\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269dual anti-platelet agents, DAPT)\u3002\u8a08\u7b97\u7684\u9805\u76ee\u5305\u62ec\uff1a\u5e74\u9f61\u3001\u6709\u7121\u62bd\u83f8\u3001\u7cd6\u5c3f\u75c5\u3001\u5fc3\u8870\u7aed (LVEF<30%)\u3001\u904e\u53bb\u6709\u7121\u5fc3\u808c\u6897\u585e\u75c5\u53f2\u3001\u653e\u7f6e\u652f\u67b6\u6642\u662f\u5426\u662f\u56e0\u70ba\u5fc3\u808c\u6897\u585e\u7684\u539f\u56e0\u3001\u652f\u67b6\u7684\u985e\u578b\uff0c\u5305\u62ec\u76f4\u5f91\u6709\u7121\u5c0f\u65bc3\u6beb\u7c73\u3001\u662f\u5426\u70ba\u85e5\u7269\u91cb\u653e\u578b\u652f\u67b6(Paclitaxel-eluting stent)\u6216\u8005\u662f\u5426\u70ba\u5fc3\u81df\u79fb\u690d\u975c\u8108\u4e4b\u6574\u5f62\u8853\u7b49\u3002\u82e5\u5206\u6578\u5927\u65bc\u7b49\u65bc2\u5206\u5247\u5ef6\u9577\u4f7f\u7528\u96d9\u91cd\u6297\u8840\u5c0f\u677f\u85e5\u7269\u7684\u597d\u8655\u8f03\u591a\u3002<\/p>\n

         <\/p>\n

        \u7d50\u8a9e\uff1a<\/p>\n

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