心源栓子可能导致的小面积深部梗死患者早期抗凝治疗的风险。

Risk of early anticoagulation in patients with small deep infarcts possibly caused by cardiogenic emboli.

作者信息

Gorsselink E L, Lodder J, van der Lugt P J

机构信息

Department of Neurology, University Hospital Maastricht, The Netherlands.

出版信息

Clin Neurol Neurosurg. 1987;89(3):157-9. doi: 10.1016/s0303-8467(87)80048-3.

DOI:10.1016/s0303-8467(87)80048-3

PMID:3665289

Abstract

From a prospective registry of 103 stroke patients on early anticoagulation for cardiac embolus we selected 23 patients with a small deep infarct. We studied the incidence of hemorrhagic infarction on CT, and the risk of early anticoagulation. We found no hemorrhagic infarction on CT in any case, and no bleeding complications during the three week observation period. Obviously, early anticoagulation can be started safely in patients with a small deep infarct possibly caused by cardiac embolism.

摘要

在一个对103例因心脏栓子接受早期抗凝治疗的中风患者的前瞻性登记研究中，我们挑选出23例有小的深部梗死灶的患者。我们研究了CT上出血性梗死的发生率以及早期抗凝的风险。我们发现所有病例的CT上均未出现出血性梗死，且在三周观察期内未出现出血并发症。显然，对于可能由心脏栓塞引起小的深部梗死灶的患者，可以安全地开始早期抗凝治疗。