A man who was known to take anticoagulant drugs has taken antiphlogistic drugs on his back because of his back discomfort. After the shave was injured, the blood flow was found, and the blood stasis was also seen on the back. The hospital cardiologist said that the international normal index is about 2~3, but because the coagulation index is not stable, the patient must monitor the coagulation function at any time. Once the abnormal value is more than 3, there will be bleeding.
Doctors stressed that taking anticoagulant drugs (Hua Falin Warfarin) would have to avoid eating too much vitamin K rich foods such as broccoli, spinach, Brassica, raw onions, raw asparagus, animal liver (pig liver) and alcohol, and special attention to antiphlogistic drugs. Doctors say the above drugs and food will increase the concentration of drug as soon as they touch it, resulting in bleeding, such as gastrointestinal bleeding, and even cerebral hemorrhage.
Remind the patients who take warfarin anticoagulants must not stop their own medicine, or increase and decrease the amount of medicine to eat, and if they forget to take medicine for more than 12 hours, do not fill it up, but remember to tell the doctor to avoid the effect. The drug instructions in Kwang Tian hospital also remind that if the patient is pregnant, she is forbidden to take this medicine, so as to avoid the problem of fetal bleeding.
Anticoagulant drugs are drugs that can affect certain coagulation factors in the coagulation process and prevent blood clotting.
The main function of anticoagulant drugs is to prevent intravascular embolism or thrombosis and prevent stroke or other thrombotic diseases.
1. What are the commonly used anticoagulants:
1, heparin: both in vivo and in vitro have a strong anticoagulant effect, inhibit the multiple processes of coagulation process, and its effect is rapid. It is commonly used in patients requiring anticoagulant therapy or oral anticoagulant.
The disadvantages are: inconvenient use and monitoring of prothrombin time. When the dosage is too large, it can cause bleeding and side effects are relatively large.
Commonly used are:
Heparin sodium for intravenous administration;
Low molecular weight heparin (LMWH) for subcutaneous injection.
2. Coumarins:
Commonly used is coumarin, warfarin and new anticoagulation, etc., by antagonizing vitamin K to make liver synthesis prothrombin and coagulation factor reduction and anticoagulation.
The characteristics are: slow onset of action, but longer duration of action. It is suitable for those who need anticoagulation for a longer time, such as deep vein thrombosis and pulmonary embolism.
3. Antiplatelet drugs:
Commonly used are:
Aspirin, Pan Shengding, clopidogrel, etc. It is effective to prevent thrombosis.
At present, oral low-dose aspirin is widely used to prevent thrombotic diseases. Clopidogrel is also commonly used in anticoagulation therapy.
4. Thrombolytic enzymes:
Commonly used as streptokinase, urokinase, Agkistrodon hutkkistrodon antithrombotic enzyme, defibrase, antithrombotic enzyme and thrombolytic enzyme and so on, can dissolve the formed thrombus and make blood vessels recanalization, which is used for thrombolytic therapy in the heart and brain vessels.
Two. Whether Huoxue Tongmai Capsule belongs to anticoagulant drugs:
Huoxue Tongmai capsule is a Chinese patent medicine. Its main ingredients are leech, Salvia miltiorrhiza, angelica, hawthorn, earthworm, Astragalus membranaceus and so on. The main functions are activating blood circulation to remove blood stasis, dilating blood vessels, diluting blood, improving circulation, inhibiting blood cell aggregation, promoting fibrinolysis, anticoagulation and antithrombotic effects.
Therefore, Huoxue Tongmai capsule does not belong to classic anticoagulant drugs, but it also has anticoagulation and antithrombotic effects.
Under the guidance of doctors, combined with the patient's condition, reasonable choice and use.
