Progress of diract oral anticoagulants in venous thromboembolism treatment and prevention

Yuanhua Yang
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Abstract

Clinical trials of direct oral anticoagulants (DOACs) in both treatment and prevention of venous thromboembolism (VTE) is increasing in recent years.More and more evidence had proved DOACs to be a significant part in anticoagulation therapy, along with higher rating of recommendation grade in guidelines and wider use in different conditions.However, there are still some problems in clinical practice that need to be discussed.This paper provides a summarization of latest progress in the field of DOACs in tumor-related VTE, the prevention of VTE and anticoagulation therapy of VTE in children, and put forward some issues that need our attention during the process of application. Key words: Anticoagulants; Venous thromboembolism; Treatment; Prevention
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直接口服抗凝剂在静脉血栓栓塞治疗和预防中的研究进展
近年来,直接口服抗凝剂(DOACs)治疗和预防静脉血栓栓塞(VTE)的临床试验越来越多。越来越多的证据证明DOACs在抗凝治疗中具有重要作用,指南中推荐等级越来越高,在不同情况下的应用也越来越广泛。但在临床实践中仍有一些问题需要探讨。本文综述了DOACs在肿瘤相关性静脉血栓栓塞、静脉血栓栓塞预防及儿童静脉血栓栓塞抗凝治疗方面的最新进展,并提出了应用过程中需要注意的一些问题。关键词:抗凝血剂;静脉血栓栓塞;治疗;预防
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