Jha Vijoy Kumar, Sharda Vivek, Mirza Salim A, Bhol K K
Physician and Nephrologist, INHS Klayani, Vizag, Andhra Pradesh.
Neurophysician, INHS Klayani, Vizag, Andhra Pradesh.
J Assoc Physicians India. 2018 Dec;66(12):61-64.
Hemorrhagic stroke is leading cause of death in Chronic Kidney Disease (CKD) population. Uremic patients are susceptible to hemorrhagic complications due to multiple reasons i.e platelet dysfunction, low platelet number, use of heparin during hemodialysis, use of anticoagulants for thromboembolic risk etc. Prevention and treatment of hemorrhagic stroke is complicated in CKD setting and if not managed properly can lead to several fold increased mortality and morbidity rate. In this brief review we will discuss about the magnitude of hemorrhagic stroke, important risk factors and outcomes in predialysis and dialysis setting and its important preventive and treatment strategy.
出血性中风是慢性肾脏病(CKD)人群的主要死因。尿毒症患者由于多种原因易发生出血并发症,如血小板功能障碍、血小板数量减少、血液透析期间使用肝素、因血栓栓塞风险使用抗凝剂等。在CKD患者中,出血性中风的预防和治疗较为复杂,如果处理不当,可导致死亡率和发病率成倍增加。在这篇简短的综述中,我们将讨论出血性中风的严重程度、重要危险因素以及在透析前和透析阶段的预后情况,及其重要的预防和治疗策略。