经皮冠状动脉介入术合并脑出血患者的抗栓治疗策略

Chinese Journal of Geriatric Heart Brain and Vessel Diseases(2020)

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Abstract
抗栓治疗包括抗血小板治疗及抗凝治疗,能够有效防止PCI后患者发生支架内血栓形成和再发缺血事件,但同时增加了局部及全身出血并发症的风险.PCI后合并脑出血虽然发生率低,但病死率、致残率较高,是PCI围术期最严重的并发症之一.一旦发生脑出血,若继续应用抗栓药物会进一步增大急性期血肿面积,而停用抗栓治疗可能引发的心肌梗死或缺血性脑卒中等血栓事件,同样会危及生命.本综述结合近期国内外相关研究和指南,就PCI后合并脑出血的抗栓治疗策略及其预防进行阐述.
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