[接受双联抗血小板治疗患者的神经外科手术。病例报告及文献综述]
[Neurosurgery in a patient on dual antiplatelet therapy. Case report and the review of the literature].
作者信息
Lubnin A Yu, Karnaukhov V V, Moshkin A V, Rylova A V, Shimansky V N
机构信息
Burdenko Neurosurgical Institute, Moscow, Russia.
出版信息
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(3):91-98. doi: 10.17116/neiro201680391-98.
INTRODUCTION
A neurosurgical intervention in a patient on dual antiplatelet therapy is a serious challenge for both the neurosurgeon and anesthesiologist..
MATERIAL AND METHODS
The article describes a clinical case of a successful urgent neurosurgical intervention (ventriculoperitoneostomy for obstructive hydrocephalus caused by a large meningioma of the posterior surface of the petrous pyramid) in a patient on dual antiplatelet therapy (DAT) due to a recently placed coronary stent..
CONCLUSION
Given a high risk of coronary stent thrombosis, the surgery was performed in the presence of ongoing DAT. There were no intracranial hemorrhagic complications, but subcutaneous hemorrhagic complications developed. The article discusses the features of managing similar patients whose number is growing.
引言
对正在接受双重抗血小板治疗的患者进行神经外科手术，对神经外科医生和麻醉医生来说都是一项严峻的挑战。
材料与方法
本文描述了一例临床病例，一名因近期植入冠状动脉支架而接受双重抗血小板治疗（DAT）的患者成功接受了紧急神经外科手术（经颞下经岩骨后表面大型脑膜瘤致梗阻性脑积水行脑室腹腔分流术）。
结论
鉴于冠状动脉支架血栓形成风险高，手术在持续进行双重抗血小板治疗的情况下进行。未发生颅内出血并发症，但出现了皮下出血并发症。本文讨论了管理这类数量不断增加的患者的特点。
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