Jung In-Ho, Yun Jung-Ho, Kim Sung Jin, Chung Jaewoo, Lee Sang Koo
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea.
Korean J Neurotrauma. 2023 Sep 12;19(3):298-306. doi: 10.13004/kjnt.2023.19.e42. eCollection 2023 Sep.
Traumatic brain injury (TBI) is a major global health concern. Due to the increase in TBI incidence and the aging population, an increasing number of patients with TBI are taking antithrombotic agents for their underlying disease. When TBI occurs in patients with these diseases, there is a conflict between the disease, which requires an antithrombotic effect, and the neurosurgeon, who must minimize intracranial hemorrhage. Nevertheless, there are no clear guidelines for the reversal or resumption of antithrombotic agents when TBI occurs in patients taking antithrombotic agents. In this review article, we intend to classify antithrombotic agents and provide information on them. We also share previous studies on the reversal and resumption of antithrombotic agents in patients with TBI to help neurosurgeons in this dilemma.
创伤性脑损伤(TBI)是一个重大的全球健康问题。由于TBI发病率的上升和人口老龄化,越来越多的TBI患者因基础疾病而服用抗血栓药物。当这些疾病患者发生TBI时,需要抗血栓作用的疾病与必须尽量减少颅内出血的神经外科医生之间存在冲突。然而,对于正在服用抗血栓药物的患者发生TBI时抗血栓药物的逆转或恢复,尚无明确的指南。在这篇综述文章中,我们打算对抗血栓药物进行分类并提供相关信息。我们还分享了之前关于TBI患者抗血栓药物逆转和恢复的研究,以帮助处于这一困境中的神经外科医生。