Sandercock P, Lindley R, Wardlaw J
Department of Clinical Neurosciences, Western General Hospital, Edinburgh.
Br J Hosp Med. 1992;47(10):731-7.
In acute ischaemic stroke and transient ischaemic attacks both platelets and coagulation factors are activated. This is the rationale for the use of antiplatelet and anticoagulant agents in the prevention of acute ischaemic stroke. Evidence also suggests that antiplatelet agents anticoagulants and dissolution of a thrombus occluding a major cerebral vessel (by means of fibrinolytic agents) may be beneficial as therapy for the acute phase of ischaemic stroke.
在急性缺血性中风和短暂性脑缺血发作中,血小板和凝血因子均被激活。这就是在预防急性缺血性中风时使用抗血小板和抗凝药物的基本原理。有证据还表明,抗血小板药物、抗凝药物以及溶解阻塞主要脑血管的血栓(通过纤溶药物)作为缺血性中风急性期的治疗方法可能有益。