Cov kev kho mob thrombosis feem ntau suav nrog kev siv tshuaj thiab kev phais. Kev kho mob siv tshuaj muab faib ua cov tshuaj anticoagulant, cov tshuaj antiplatelet, thiab cov tshuaj thrombolytic raws li txoj kev ua haujlwm. Yaj cov thrombus uas tsim tawm. Qee tus neeg mob uas ua tau raws li cov cim qhia kuj tuaj yeem kho tau los ntawm kev phais.

1. Kev kho mob siv tshuaj:

1) Cov Tshuaj Anticoagulants: Heparin, warfarin thiab cov tshuaj anticoagulants tshiab feem ntau siv. Heparin muaj cov nyhuv anticoagulant muaj zog hauv vivo thiab hauv vitro, uas tuaj yeem tiv thaiv cov leeg ntshav tob thiab cov hlab ntsha embolism. Nws feem ntau siv los kho mob myocardial infarction thiab venous thromboembolism. Nws yuav tsum tau sau tseg tias heparin tuaj yeem faib ua unfractionated heparin thiab qis molecular hnyav heparin, qhov kawg feem ntau los ntawm kev txhaj tshuaj subcutaneous. Warfarin tuaj yeem tiv thaiv cov vitamin K-dependent coagulation factors los ntawm kev ua haujlwm. Nws yog dicoumarin-hom intermediate anticoagulant. Nws feem ntau yog siv rau cov neeg mob tom qab hloov lub plawv valve dag, cov neeg mob atrial fibrillation muaj kev pheej hmoo siab thiab thromboembolism. Kev los ntshav thiab lwm yam kev tsis zoo yuav tsum tau saib xyuas ze ntawm kev ua haujlwm coagulation thaum noj tshuaj. Cov tshuaj anticoagulants tshiab hauv qhov ncauj yog cov tshuaj anticoagulants muaj kev nyab xeeb thiab zoo hauv xyoo tas los no, suav nrog cov tshuaj saban thiab dabigatran etexilate;

2) Cov tshuaj Antiplatelet: suav nrog aspirin, clopidogrel, abciximab, thiab lwm yam, tuaj yeem tiv thaiv cov platelet sib sau ua ke, yog li ntawd tiv thaiv kev tsim cov thrombus. Hauv cov kab mob plawv mob hnyav, cov hlab ntsha hauv lub plawv nthuav dav, thiab cov mob thrombotic siab xws li stent implantation, aspirin thiab clopidogrel feem ntau yog siv ua ke;

3) Cov tshuaj Thrombolytic: suav nrog streptokinase, urokinase thiab cov nqaij plasminogen activator, thiab lwm yam, uas tuaj yeem txhawb kev thrombolysis thiab txhim kho cov tsos mob ntawm cov neeg mob.

2. Kev phais mob:

Xws li kev phais mob thrombectomy, catheter thrombolysis, ultrasonic ablation, thiab mechanical thrombus aspiration, nws yog ib qho tsim nyog kom nkag siab zoo txog cov cim thiab contraindications ntawm kev phais. Clinically, nws feem ntau ntseeg tias cov neeg mob uas muaj thrombus theem ob los ntawm cov thrombus qub, coagulation dysfunction, thiab malignant tumors tsis haum rau kev phais mob, thiab yuav tsum tau kho raws li kev loj hlob ntawm tus neeg mob tus mob thiab nyob rau hauv kev taw qhia ntawm tus kws kho mob.