Khan Muhammad T, Ikram Asad, Saeed Omar, Afridi Taha, Sila Cathy A, Smith Matthew S, Irshad Khadija, Shuaib Ashfaq
Neurology, Charleston Area Medical Center.
Department of Neurology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Cureus. 2017 Dec 23;9(12):e1982. doi: 10.7759/cureus.1982.
We present a systemic review of available literature on the complications of deep venous thrombosis that develops in patients presenting with acute stroke. There are several pharmacological and physical treatment options available and used. We aim to summarize the management plans currently used at different centers. In conclusion, low-dose anticoagulant therapy for ischemic stroke is recommended. In the case of intracerebral hemorrhage, pneumatic sequential compression devices should be placed initially, followed by the administration of ultra-fractioned heparin on the next day, and then oral anticoagulant therapy to replace the heparin after a week in high-risk patients. Similar prophylactic treatment recommendations are used for subarachnoid hemorrhage.
我们对急性中风患者发生的深静脉血栓形成并发症的现有文献进行了系统综述。有几种可用且正在使用的药物和物理治疗选择。我们旨在总结目前不同中心使用的管理方案。总之,推荐对缺血性中风进行低剂量抗凝治疗。对于脑出血,应首先放置气动序贯加压装置,次日给予超小剂量肝素,然后在高危患者中一周后给予口服抗凝治疗以替代肝素。蛛网膜下腔出血也采用类似的预防性治疗建议。