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萘莫司他——血液净化抗凝新选择

李双双 赵德鹏 丁征

中国合理用药探索2025,Vol.22Issue(2):30-34,5.
中国合理用药探索2025,Vol.22Issue(2):30-34,5.DOI:10.3969/j.issn.2096-3327.2025.02.005

萘莫司他——血液净化抗凝新选择

Nafamostat:A New Anticoagulation Choice for Blood Purification

李双双 1赵德鹏 2丁征3

作者信息

  • 1. 中国心胸血管麻醉学会心血管药学分会抗凝药师专科协作组||山东中医药大学第二附属医院药学部,济南 250001
  • 2. 中国心胸血管麻醉学会心血管药学分会抗凝药师专科协作组||大连理工大学附属中心医院药学部,大连 116000
  • 3. 中国心胸血管麻醉学会心血管药学分会抗凝药师专科协作组||中国医学科学院阜外医院药剂科,北京 100037
  • 折叠

摘要

Abstract

Nafamostat mesylate(NM)shows obvious advantages in prolonging filter lifespan and reducing bleeding risks due to its favorable biological properties,and it is also easier to operate than regional citrate anticoagulation.NM has been used for anticoagulation during extracorporeal circulation for more than 30 years and has shown excellent extracorporeal anticoagulation performance,especially in patients at high risk of bleeding.This article introduces the mechanism of action,application methods,and the use of NM in different bleeding risks and hypercoagulable states,and provides a comparison of the characteristics of four anticoagulation methods(NM,unfractionated heparin,low-molecular-weight heparin and regional citrate anticoagulation),contributing to the rational clinical use of anticoagulants.

关键词

萘莫司他/抗凝/血液净化/枸橼酸/局部抗凝

Key words

nafamostat/anticoagulation/blood purification/citrate/regional anticoagulation

分类

药学

引用本文复制引用

李双双,赵德鹏,丁征..萘莫司他——血液净化抗凝新选择[J].中国合理用药探索,2025,22(2):30-34,5.

基金项目

2022年度北京市慢性病防治与健康教育科研项目(BJMB0012022028007) (BJMB0012022028007)

中国合理用药探索

2096-3327

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