慢性肾脏病常并发冠心病,需要积极治疗包括抗栓药物治疗,以减少心血管事件发生率及病死率。但是,肾功能不全患者出血风险增加,如果抗栓药物使用不当,即可诱发严重出血。文章将对肾功能不全时如何使用抗血小板药物、抗凝药物及纤溶药物作一讨论。 Chronic kidney disease often complicated by coronary heart disease, need active treatment, including antithrombotic drug therapy to reduce the incidence of cardiovascular events and mortality. However, patients with renal insufficiency have an increased risk of bleeding and may cause severe bleeding if the antithrombotic drug is not used properly. The article will be on how to use anti-platelet drugs, anticoagulants and fibrinolytic drugs for a discussion of renal insufficiency.