围手术期急性缺血性脑卒中的处理：病例报告。
Perioperative management of acute ischemic stroke: a case report.
机构信息
Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA.
出版信息
J Clin Anesth. 2009 Dec;21(8):602-5. doi: 10.1016/j.jclinane.2009.01.010.
Interrupting anticoagulation in patients at high risk for thromboembolism, even for critically important surgery, may lead to devastating outcomes. The patient described developed "Locked-in Syndrome" from basilar arterial thrombosis within 24 hours of withholding anticoagulation for urgent airway surgery. Emergency thrombolysis partially restored arterial flow, with recovery of some function. The dangers of hemorrhage during surgery must be balanced against the potentially devastating consequences of withholding anticoagulation in patients at high risk for thrombosis.
在存在高血栓栓塞风险的患者中，即使是对于极为重要的手术，中断抗凝治疗可能导致灾难性的后果。该患者在因紧急气道手术而停用抗凝治疗的 24 小时内，发生基底动脉血栓形成导致“闭锁综合征”。紧急溶栓部分恢复了动脉血流，部分功能得到了恢复。手术期间出血的危险必须与高血栓风险患者中断抗凝治疗可能带来的潜在灾难性后果相平衡。
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