Kaufman H H, McAllister P, Taylor H, Schmidt S
Department of Neurosurgery, West Virginia University School of Medicine, Morgantown.
Neurosurgery. 1993 Nov;33(5):898-900; discussion 900-1. doi: 10.1227/00006123-199311000-00019.
The incidence of intracerebral hematomas after myocardial infarction increases after thrombolysis. As noted in the case described, clots formed after the administration of thrombolytic agents may remain liquid, and this blood can be drained by a catheter. However, in this case, the patient continued to bleed locally. This problem requires the development of methods to stop such ongoing local bleeding. It may be prevented in the future by improved thrombolytic drugs.
心肌梗死后脑出血的发生率在溶栓治疗后会升高。如所描述的病例所示,溶栓药物给药后形成的血栓可能会保持液态,这种血液可通过导管引流。然而,在该病例中,患者局部持续出血。这个问题需要开发能够阻止这种持续局部出血的方法。未来或许可通过改进溶栓药物来预防。