氨甲环酸在体外循环心脏手术中的应用  

Application of Tranexamic Acid in Cardiopulmonary Bypass Cardiac Surgery

作　　者：程明铭 王江[1] CHEN Mingming;WANG Jiang(Department of Anesthesiology,First Affiliated Hospital of Xinjiang Medical University,Urumqi,830000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆医科大学第一附属医院麻醉科,新疆维吾尔自治区乌鲁木齐830000

出　　处：《系统医学》2025年第6期195-198,共4页Systems Medicine

摘　　要：在体外循环心脏手术中,围术期出血风险很高,纤维蛋白溶解增强是导致患者出血的重要机制之一,因此抗纤溶药常用于心外手术中。本文以氨甲环酸在体外循环心脏手术中的应用为切入点,分析了该药在临床使用中存在的问题和研究现状,以期为一线医务工作者的合理用药提供参考。In cardiopulmonary bypass cardiac surgery,the risk of perioperative bleeding is very high,and enhanced fibrinolysis is one of the important mechanisms leading to bleeding in patients.Therefore,anti-fibrinolytic drugs are often used in extracardiac surgery.In this paper,the application of tranexamic acid in cardiac surgery with cardiopul-monary bypass was taken as the starting point,and the problems and research status of the drug in clinical use were analyzed in order to provide reference for the rational use of drugs by front-line medical workers.

关 键 词：氨甲环酸 心脏手术 体外循环 

分 类 号：R614[医药卫生—麻醉学]