{"id":7581,"date":"2018-04-20T18:07:35","date_gmt":"2018-04-20T22:07:35","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/doctors-continue-to-struggle-with-blood-clot-treatment\/"},"modified":"2018-04-20T18:07:35","modified_gmt":"2018-04-20T22:07:35","slug":"%e5%8c%bb%e7%94%9f%e7%bb%a7%e7%bb%ad%e4%b8%8e%e8%a1%80%e6%a0%93%e6%b2%bb%e7%96%97%e4%bd%9c%e6%96%97%e4%ba%89","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/zh\/article\/%e5%8c%bb%e7%94%9f%e7%bb%a7%e7%bb%ad%e4%b8%8e%e8%a1%80%e6%a0%93%e6%b2%bb%e7%96%97%e4%bd%9c%e6%96%97%e4%ba%89\/","title":{"rendered":"\u533b\u751f\u4eec\u7ee7\u7eed\u4e0e\u8840\u6813\u6cbb\u7597\u4f5c\u6597\u4e89"},"content":{"rendered":"<p>\u5728\u79d1\u5b66\u5bb6\u53d1\u73b0\u4e2d\u98ce\u6cbb\u7597\u7684\u201c\u7a81\u7834\u6027\u7a0b\u5e8f\u201d\u4e8c\u5341\u591a\u5e74\u540e\uff0c\u8bb8\u591a\u60a3\u8005\u4ecd\u7136\u65e0\u6cd5\u83b7\u5f97\u5148\u8fdb\u7684 tPA \u7597\u6cd5\uff0c\u8fd9\u4e3b\u8981\u662f\u56e0\u4e3a\u6f5c\u5728\u7684 <a href=\"\/zh\/%e7%bb%83%e4%b9%a0%e5%8c%ba\/%e5%8c%bb%e7%96%97%e4%ba%8b%e6%95%85\/\">\u533b\u7597\u4e8b\u6545<\/a> \u95ee\u9898\u3002<\/p>\n<p>\u5982\u679c\u7f3a\u8840\u6027\uff08\u8840\u5757\uff09\u4e2d\u98ce\u60a3\u8005\u5728\u75c7\u72b6\u51fa\u73b0\u540e\u4e09\u5230\u56db\u4e2a\u534a\u5c0f\u65f6\u5185\u63a5\u53d7\u7ec4\u7ec7\u7ea4\u6eb6\u9176\u539f\u6fc0\u6d3b\u5242\u6ce8\u5c04\uff0c\u5728\u8bb8\u591a\u60c5\u51b5\u4e0b\uff0ctPA \u53ef\u4ee5\u6709\u6548\u6eb6\u89e3\u8840\u5757\u3002\u6062\u590d\u7684\u8840\u6d41\u901a\u5e38\u662f\u5b8c\u5168\u5eb7\u590d\u548c\u6c38\u4e45\u6b8b\u75be\u4e4b\u95f4\u7684\u533a\u522b\u3002\u4f46\u4e0e\u8bb8\u591a\u5148\u8fdb\u7684\u533b\u7597\u4fdd\u5065\u836f\u7269\u3001\u8bbe\u5907\u548c\u7597\u6cd5\u4e00\u6837\uff0ctPA \u662f <a href=\"https:\/\/www.nytimes.com\/2018\/03\/26\/health\/stroke-clot-buster.html\" target=\"_blank\" rel=\"noopener\">\u6709\u98ce\u9669<\/a>. tPA \u5728\u5927\u7ea6\u56db\u5206\u4e4b\u4e00\u63a5\u53d7\u5b83\u7684\u60a3\u8005\u4e2d\u5bfc\u81f4\u4e25\u91cd\u51fa\u8840\u3002\u5982\u679c\u60a3\u8005\u7684\u5065\u5eb7\u72b6\u51b5\u5df2\u7ecf\u5f88\u5dee\u6216\u5904\u4e8e\u5371\u9669\u4e4b\u4e2d\uff0c\u90a3\u4e48\u8fd9\u79cd\u51fa\u8840\u53ef\u80fd\u662f\u6bc1\u706d\u6027\u7684\u3002\u6b64\u5916\uff0c\u76f8\u5f53\u591a\u7684 tPA \u60a3\u8005\u4f1a\u51fa\u73b0\u8111\u51fa\u8840\u6216\u5176\u4ed6\u6b64\u7c7b\u635f\u4f24\u3002\u8fd9\u4e9b\u4f24\u53e3\u603b\u662f\u5f88\u4e25\u91cd\u5e76\u4e14\u53ef\u80fd\u81f4\u547d\u3002<\/p>\n<p>\u56e0\u6b64\uff0c\u8bb8\u591a\u533b\u751f\u56de\u907f\u4f7f\u7528 tPA\u3002\u8036\u9c81\u5927\u5b66\u7684 Charles Wira \u535a\u58eb\u8bf4\uff0c\u4ed6\u63a5\u8bca\u7684\u8bb8\u591a\u60a3\u8005\u90fd\u6765\u81ea\u5176\u4ed6\u533b\u9662\u3002\u90a3\u91cc\u7684\u533b\u751f\u751a\u81f3\u6ca1\u6709\u5c06 tPA \u544a\u77e5\u5bb6\u5c5e\u3002\u4f46 Wira \u535a\u58eb\u4ece\u672a\u63d0\u51fa\u8fd9\u4e2a\u95ee\u9898\u3002 \u201c\u6211\u4eec\u5c3d\u91cf\u4e0d\u63d0\u51fa\u53ef\u80fd\u5bfc\u81f4\u8bc9\u8bbc\u7684\u95ee\u9898\uff0c\u201d\u4ed6\u8bc4\u8bba\u9053\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u8840\u5757\u548c\u8840\u6db2\u7a00\u91ca\u5242<\/h2>\n<p>tPA \u5e76\u4e0d\u662f\u8be5\u9886\u57df\u552f\u4e00\u7684\u9ad8\u98ce\u9669\u3001\u9ad8\u56de\u62a5\u7597\u6cd5\u3002\u533b\u751f\u7ecf\u5e38\u4f7f\u7528\u6709\u4e89\u8bae\u7684 <a href=\"https:\/\/www.hopkinsmedicine.org\/healthlibrary\/test_procedures\/cardiovascular\/inferior_vena_cava_ivc_filter_placement_135,340\" target=\"_blank\" rel=\"noopener\">\u4e0b\u8154\u9759\u8109\u8fc7\u6ee4\u5668<\/a> \u5728\u672f\u540e\u60a3\u8005\u4e2d\u3002\u8fd9\u4e9b\u8718\u86db\u72b6\u8fc7\u6ee4\u5668\u53ef\u8ba9\u8840\u6db2\u6b63\u5e38\u6d41\u8fc7\u817f\u90e8\u7684\u8fd9\u6761\u5173\u952e\u52a8\u8109\u3002\u8840\u6d41\u53d7\u9650\u901a\u5e38\u4f1a\u5bfc\u81f4\u8840\u6813\u548c\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210 (DVT)\u3002\u5982\u679c\u51dd\u5757\u79fb\u52a8\u5230\u9760\u8fd1\u5fc3\u810f\u6216\u80ba\u90e8\u7684\u5730\u65b9\uff08\u8fd9\u5f88\u53ef\u80fd\uff09\uff0cDVT \u53ef\u80fd\u662f\u81f4\u547d\u7684\u3002<\/p>\n<p>IVC \u8fc7\u6ee4\u5668\u4e0d\u662f\u975e\u5e38\u575a\u56fa\uff0c\u5e76\u4e14\u4ec5\u8bbe\u8ba1\u7528\u4e8e\u53ef\u80fd\u51e0\u5468\u7684\u4e34\u65f6\u4f7f\u7528\u3002\u5982\u679c\u5b83\u4eec\u5728 IVC \u4e2d\u505c\u7559\u7684\u65f6\u95f4\u8fc7\u957f\uff0c\u751a\u81f3\u4f1a\u51fa\u73b0\u4e25\u91cd\u7684\u526f\u4f5c\u7528\u3002\u5176\u4e2d\u4e00\u4e9b\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u88c5\u7f6e\u79fb\u4f4d\u6216\u65ad\u88c2\uff0c<\/li>\n<li>\u7ec4\u7ec7\u7a7f\u5b54\uff0c<\/li>\n<li>\u5fc3\u5305\u586b\u585e\uff08\u5fc3\u810f\u5468\u56f4\u7684\u6db2\u4f53\uff09\uff0c\u4ee5\u53ca<\/li>\n<li>\u5ba4\u6027\u5fc3\u52a8\u8fc7\u901f\uff08\u5371\u9669\u7684\u5feb\u901f\u5fc3\u8df3\uff09\u3002<\/li>\n<\/ul>\n<p>\u4ece 2010 \u5e74\u5f00\u59cb\uff0c\u7f8e\u56fd\u98df\u54c1\u548c\u836f\u7269\u7ba1\u7406\u5c40\u5c31 IVC \u8fc7\u6ee4\u5668\u76f8\u5173\u7684\u5371\u9669\u53d1\u51fa\u8b66\u544a\u3002\u7136\u800c\uff0c\u5c3d\u7ba1\u6b64\u7c7b\u58f0\u660e\u4e0d\u65ad\u5347\u7ea7\uff08\u6700\u8fd1\u4e00\u6b21\u662f\u5728 2014 \u5e74\uff09\uff0c\u4f46\u8fd9\u4e9b\u5c0f\u5de5\u5177\u4ecd\u88ab\u5e7f\u6cdb\u4f7f\u7528\u3002\u8fd9\u610f\u5473\u7740\u5b83\u4eec\u4ecd\u7136\u88ab\u5e7f\u6cdb\u6ee5\u7528\u3002<\/p>\n<p>\u6297\u51dd\u5242\uff08\u8840\u6db2\u7a00\u91ca\u5242\uff09 <a href=\"https:\/\/www.fda.gov\/Drugs\/DrugSafety\/ucm282724.htm\" target=\"_blank\" rel=\"noopener\">\u4e2d\u836f<\/a> \u662f\u4e00\u79cd\u9884\u9632\u4e2d\u98ce\u7684\u836f\u7269\u3002\u5b83\u5f88\u53d7\u533b\u751f\u548c\u60a3\u8005\u7684\u6b22\u8fce\uff0c\u4e3b\u8981\u662f\u56e0\u4e3a\u5b83\u6bd4\u534e\u6cd5\u6797\u548c\u5176\u4ed6\u4e00\u4e9b\u6297\u51dd\u5242\u9700\u8981\u66f4\u5c11\u7684\u76d1\u6d4b\u3002<\/p>\n<p>\u5927\u591a\u6570\u670d\u7528\u6b64\u7c7b\u836f\u7269\u7684\u60a3\u8005\u66f4\u5bb9\u6613\u51fa\u73b0\u8f7b\u5ea6\u51fa\u8840\u3001\u7600\u4f24\u548c\u8840\u4fbf\u7b49\u75c7\u72b6\u3002 <a href=\"\/zh\/%e7%bb%83%e4%b9%a0%e5%8c%ba\/%e5%8c%bb%e8%8d%af%e8%af%89%e8%ae%bc\/%e4%b8%ad%e8%8d%af\/\">\u666e\u62c9\u8fbe\u514b\u4e5f\u4e0d\u4f8b\u5916<\/a>.\u4f46\u6839\u636e FDA \u7684\u8bf4\u6cd5\uff0c\u201c\u4e25\u91cd\u51fa\u8840\u4e8b\u4ef6\u201d\u7684\u98ce\u9669\u975e\u5e38\u9ad8\u3002\u4e5f\u8bb8\u66f4\u4ee4\u4eba\u4e0d\u5b89\u7684\u662f\uff0cPradaxa \u6ca1\u6709\u50cf Warfarin \u90a3\u6837\u7684\u901f\u6548\u89e3\u6bd2\u5242\u3002\u6240\u4ee5\uff0c\u5982\u679c\u5f00\u59cb\u51fa\u73b0\u5982\u6b64\u4e25\u91cd\u7684\u51fa\u8840\uff0c\u51e0\u4e4e\u4e0d\u53ef\u80fd\u505c\u6b62\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u533b\u751f\u5982\u4f55\u53cd\u5e94<\/h2>\n<p>\u8fd9\u4e9b\u836f\u7269\u3001\u8bbe\u5907\u548c\u7597\u6cd5\u7684\u98ce\u9669\u901a\u5e38\u4f1a\u9020\u6210\u4e00\u79cd\u88ab\u79f0\u4e3a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3728884\/\" target=\"_blank\" rel=\"noopener\">\u9632\u5fa1\u533b\u5b66<\/a>.\u901a\u5e38\uff0c\u8be5\u672f\u8bed\u4e0e\u4e0d\u5fc5\u8981\u7684\u8bca\u65ad\u6d4b\u8bd5\u76f8\u5173\u8054\u3002\u533b\u751f\u7ecf\u5e38\u5b89\u6392\u8fd9\u4e9b\u7a0b\u5e8f\u4e0d\u662f\u56e0\u4e3a\u5b83\u4eec\u7b26\u5408\u60a3\u8005\u7684\u6700\u5927\u5229\u76ca\uff0c\u800c\u662f\u56e0\u4e3a\u5b83\u4eec\u662f\u4e00\u79cd\u6709\u6548\u7684\u65b9\u6cd5 <a href=\"\/zh\/%e7%bb%83%e4%b9%a0%e5%8c%ba\/%e5%8c%bb%e7%96%97%e4%ba%8b%e6%95%85\/%e5%85%b3%e4%ba%8e%e5%8c%bb%e7%96%97%e4%ba%8b%e6%95%85\/\">\u533b\u7597\u4e8b\u6545\u7d22\u8d54\u4e2d\u7684\u8fa9\u62a4<\/a>.\u672c\u8d28\u4e0a\uff0c\u533b\u751f\u53ef\u4ee5\u4e89\u8fa9\u8bf4\u4ed6\/\u5979\u6ca1\u6709\u758f\u5ffd\uff0c\u56e0\u4e3a\u4ed6\/\u5979\u68c0\u67e5\u4e86\u6bcf\u4e00\u79cd\u53ef\u80fd\u6027\u3002<\/p>\n<p>\u6709\u65f6\u60c5\u51b5\u6070\u6070\u76f8\u53cd\u3002\u6b63\u5982 Wira \u535a\u58eb\u5728\u4e0a\u9762\u6307\u51fa\u7684\u90a3\u6837\uff0c\u4e00\u4e9b\u533b\u751f\u56de\u907f\u53ef\u80fd\u633d\u6551\u751f\u547d\u7684\u6cbb\u7597\uff0c\u56e0\u4e3a\u4ed6\u4eec\u5bb3\u6015\u8d23\u4efb\u65b9\u9762\u3002\u5982\u679c\u533b\u751f\u77e5\u9053\u5728\u75c5\u4eba\u62a4\u7406\u65b9\u9762\u5b58\u5728\u5176\u4ed6\u5dee\u8ddd\uff0c\u5982\u679c\u533b\u751f\u4ee5\u524d\u88ab\u8d77\u8bc9\u8fc7\uff0c\u6216\u8005\u533b\u751f\u8ba4\u8bc6\u88ab\u8d77\u8bc9\u7684\u4eba\uff0c\u60c5\u51b5\u5c24\u5176\u5982\u6b64\u3002\u5927\u591a\u6570\u533b\u751f\u81f3\u5c11\u5c5e\u4e8e\u5176\u4e2d\u4e00\u7c7b\uff0c\u56e0\u6b64\u9632\u5fa1\u6027\u533b\u5b66\u975e\u5e38\u666e\u904d\u3002<\/p>\n<p>\u4e3a\u4e86\u7f13\u89e3\u8fd9\u4e2a\u95ee\u9898\uff0c\u8bb8\u591a\u5dde\u901a\u8fc7\u4e86\u4fb5\u6743\u6539\u9769\u6cd5\uff0c\u4f7f\u53d7\u5bb3\u8005\u66f4\u96be\u8d77\u8bc9\u533b\u751f\uff0c\u51cf\u5c11\u53ef\u7528\u7684\u8d54\u507f\u91d1\u989d\uff0c\u6216\u4e24\u8005\u517c\u800c\u6709\u4e4b\u3002\u7136\u800c\uff0c\u51e0\u4e4e\u6ca1\u6709\u8bc1\u636e\u8868\u660e\u8fd9\u4e9b\u65b9\u6cd5\u6709\u6548\uff0c\u800c\u4e14\u4e00\u4e9b\u8ff9\u8c61\u8868\u660e\u5b83\u4eec\u53ef\u80fd\u9002\u5f97\u5176\u53cd\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u66f4\u5927\u7684\u95ee\u9898\uff0c\u4f8b\u5982\u533b\u751f\u6240\u6709\u7684\u5206\u9500\u5546\uff08POD\uff0c\u5982\u624b\u672f\u4e2d\u5fc3\uff09\u7684\u5174\u8d77\uff0c\u5927\u591a\u4e0d\u53d7\u76d1\u7ba1\u3002<\/p>\n<p><a href=\"\/zh\/%e7%bb%83%e4%b9%a0%e5%8c%ba\/%e5%8c%bb%e7%96%97%e4%ba%8b%e6%95%85\/\">\u533b\u7597\u4e8b\u6545<\/a> \u53d7\u5bb3\u8005\u6709\u6743\u83b7\u5f97\u91cd\u5927\u8d54\u507f\uff0c\u4f46\u4ed6\u4eec\u5f80\u5f80\u5fc5\u987b\u514b\u670d\u91cd\u5927\u969c\u788d\u624d\u80fd\u83b7\u5f97\u8d54\u507f\u3002\u514d\u8d39\u54a8\u8be2 <a href=\"\/zh\/%e8%81%94%e7%b3%bb%e6%88%91%e4%bb%ac\/\">\u7ebd\u7ea6\u7ecf\u9a8c\u4e30\u5bcc\u7684\u4eba\u8eab\u4f24\u5bb3\u5f8b\u5e08<\/a>, contact Napoli Shkolnik . We have nine office locations in eight states.<\/p>","protected":false},"excerpt":{"rendered":"<p>Over two decades after scientists discovered a \u201cbreakthrough procedure\u201d in stroke treatments, many patients still have no access to advanced tPA therapy, largely because of potential medical malpractice issues. If&#8230;<\/p>","protected":false},"author":3,"featured_media":7582,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[780],"tags":[],"class_list":["post-7581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-malpractice"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/posts\/7581","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/comments?post=7581"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/posts\/7581\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/media\/7582"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/media?parent=7581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/categories?post=7581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/zh\/wp-json\/wp\/v2\/tags?post=7581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}