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谁需要抗血小板治疗?

Who needs antiplatelet therapy?

作者信息

Moher M, Lancaster T

机构信息

ICRF General Practice Research Group, University Department of Public Health and Primary Care, Oxford.

出版信息

Br J Gen Pract. 1996 Jun;46(407):367-70.

Abstract

A series of overviews or meta-analyses of randomized clinical trials prepared by the Antiplatelet Trialists' Collaboration were published in the British Medical Journal in January 1994. They demonstrated that prolonged courses of medium-dose aspirin were very effective at preventing both fatal and non-fatal myocardial infarction and stroke in patients at high risk of occlusive vascular disease. The aim of this review is to provide the general practitioner with a practical guide to the use of aspirin in patients at high and low risk of occlusive vascular disease and to discuss appropriate dosages and contraindications to treatment in the light of all the recent evidence.

摘要

抗血小板治疗协作组编制的一系列关于随机临床试验的综述或荟萃分析于1994年1月发表在《英国医学杂志》上。这些研究表明,对于患有闭塞性血管疾病高风险的患者,较长疗程的中等剂量阿司匹林在预防致命性和非致命性心肌梗死及中风方面非常有效。本综述的目的是为全科医生提供一份关于在闭塞性血管疾病高风险和低风险患者中使用阿司匹林的实用指南,并根据所有最新证据讨论适当的剂量和治疗禁忌症。

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