Reymond M A, Marbet G, Radü E W, Gratzl O
Department of Neurosurgery, University Hospital of Basle, Switzerland.
Neurosurg Rev. 1992;15(1):21-5. doi: 10.1007/BF02352062.
The role of aspirin as a risk factor in the occurrence of intracranial bleeding following head injury was investigated. Chronic subdural hematoma appears to be a suitable model for the evaluation of risk factors in the development of hemorrhage. The most common risk factors found in our study were, apart from age, chronic alcohol abuse (28%), consumption of cumarin-derivates (21%), aspirin (13%), and heparin (5%). A patient undergoing aspirin treatment must be considered at risk of development of chronic subdural hematoma. Aspirin should not be prescribed to patients with post-traumatic headaches.
研究了阿司匹林作为头部受伤后颅内出血发生风险因素的作用。慢性硬膜下血肿似乎是评估出血发展风险因素的合适模型。在我们的研究中发现的最常见风险因素,除年龄外,还有慢性酒精滥用(28%)、香豆素衍生物的使用(21%)、阿司匹林(13%)和肝素(5%)。接受阿司匹林治疗的患者必须被视为有发生慢性硬膜下血肿的风险。创伤后头痛患者不应开具阿司匹林。