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接受溶栓治疗患者颅内出血的急性处理:病例报告

Acute management of intracranial hemorrhage in patients receiving thrombolytic therapy: case reports.

作者信息

Eleff S M, Borel C, Bell W R, Long D M

机构信息

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine and Hospital, Baltimore, Maryland.

出版信息

Neurosurgery. 1990 May;26(5):867-9. doi: 10.1097/00006123-199005000-00022.

DOI:10.1097/00006123-199005000-00022
PMID:2352604
Abstract

Intracranial hemorrhage is an uncommon complication of antithrombotic therapy. We present two patients who suffered life-threatening intracranial bleeding as a complication of thrombolytic/anticoagulant treatment. Early diagnosis and treatment appear to be crucial factors for survival. We suggest an approach to perioperative management for intracranial hemorrhage resulting from antithrombotic therapy.

摘要

颅内出血是抗栓治疗的一种罕见并发症。我们报告了两名患者,他们因溶栓/抗凝治疗而发生危及生命的颅内出血。早期诊断和治疗似乎是生存的关键因素。我们提出了一种针对抗栓治疗所致颅内出血的围手术期管理方法。

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1
Acute management of intracranial hemorrhage in patients receiving thrombolytic therapy: case reports.接受溶栓治疗患者颅内出血的急性处理:病例报告
Neurosurgery. 1990 May;26(5):867-9. doi: 10.1097/00006123-199005000-00022.
2
Safety of thrombolytic therapy in elderly patients with massive pulmonary embolism: a comparison with nonelderly patients.老年大面积肺栓塞患者溶栓治疗的安全性:与非老年患者的比较
J Am Coll Cardiol. 1993 Oct;22(4):1075-9. doi: 10.1016/0735-1097(93)90418-z.
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[Intracranial hemorrhage following thrombolytic therapy in acute myocardial infarct].急性心肌梗死溶栓治疗后颅内出血
Rev Esp Cardiol. 1994 Feb;47(2):73-80.
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Acute anuric renal failure: a complication of combined thrombolytic and antithrombotic therapy.急性无尿性肾衰竭:溶栓与抗栓联合治疗的一种并发症。
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Intracerebral hemorrhage after combined anticoagulant-thrombolytic therapy for myocardial infarction: two case reports and a short review.
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Stroke associated with thrombolytic therapy for acute myocardial infarction.
Heart Dis Stroke. 1992 Sep-Oct;1(5):287-94.
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The risk of stroke in patients with acute myocardial infarction after thrombolytic and antithrombotic treatment. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico II (GISSI-2), and The International Study Group.急性心肌梗死后接受溶栓和抗栓治疗患者的卒中风险。意大利心肌梗死存活研究组II(GISSI-2)及国际研究组。
N Engl J Med. 1992 Jul 2;327(1):1-6. doi: 10.1056/NEJM199207023270101.
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Systemic thrombolysis for cerebral venous and dural sinus thrombosis: a systematic review.用于脑静脉和硬脑膜窦血栓形成的全身溶栓治疗:一项系统评价
Cerebrovasc Dis. 2014;37(1):43-50. doi: 10.1159/000356840. Epub 2013 Dec 18.
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Intracranial hemorrhage complicating acute myocardial infarction in the era of thrombolytic therapy.溶栓治疗时代急性心肌梗死并发颅内出血
South Med J. 1997 Jan;90(1):5-12. doi: 10.1097/00007611-199701000-00002.
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Neurosurgical evacuation of intracranial hemorrhage after thrombolytic therapy for acute myocardial infarction: experience from the GUSTO-I trial. Global Utilization of Streptokinase and tissue-plasminogen activator (tPA) for Occluded Coronary Arteries.急性心肌梗死溶栓治疗后颅内出血的神经外科手术清除:来自GUSTO-I试验的经验。全球应用链激酶和组织型纤溶酶原激活剂(tPA)治疗闭塞冠状动脉。
Am Heart J. 1999 Sep;138(3 Pt 1):493-9. doi: 10.1016/s0002-8703(99)70152-3.

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