Hensler M K, Madsen P V
Karkirurgisk afdeling RK, Rigshospitalet, København.
Ugeskr Laeger. 1994 Feb 28;156(9):1278-85.
Antiplatelet drugs (acetylsalicylic acid) have been widely used in arteriosclerotic patients during recent years. We have reviewed the literature to find out if this treatment also is indicated in patients operated with reconstructive vascular surgery for lower limb ischemia. It is concluded, that all patients should receive life-long treatment with acetylsalicylic acid 300-500 mg per day following peripheral vascular surgery. This will improve the patency rate of certain vascular procedures, and in all patients it reduces the incidence of cerebral stroke and the risk of myocardial infarction in the years following peripheral vascular surgery.
近年来,抗血小板药物(阿司匹林)已广泛应用于动脉粥样硬化患者。我们查阅了文献,以确定这种治疗方法是否也适用于因下肢缺血而接受血管重建手术的患者。得出的结论是,所有患者在接受外周血管手术后应终身服用每日300 - 500毫克的阿司匹林。这将提高某些血管手术的通畅率,并且对所有患者而言,在接受外周血管手术后的数年中,它能降低脑卒中和心肌梗死的发生率。