A case of cerebral hemorrhage undergoing percutaneous coronary intervention in elderly women
-
摘要: 高龄冠心病患者是一个特殊的群体,特别是针对年龄>75岁的冠心病患者在经皮冠状动脉介入治疗(PCI)围手术期发生脑出血的防治目前尚无统一标准,相关病例亦鲜有报道。国内外学者对此类患者的治疗进行了一些探索,但仍未提出明确的治疗指南。笔者治疗并随访了1例高龄女性PCI术后发生脑出血的患者,现报道如下。1病例资料患者,女,79岁。因反复胸闷痛10年,加重20d入院。入院体检:脉搏70次/min,血压182/82
-
关键词:
- 经皮冠状动脉介入治疗 /
- 脑出血 /
- 血栓与出血
Abstract: Cerebral hemorrhage is a serious deadly complication after percutaneous coronary intervention (PCI).We present a case that antiplatelet therapy strategies in elderly patient (over 75 years) with cerebral hemorrhage undergoing PCI. -
[1] Bittl JA,Baber U,Bradley SM,et al.Duration of Dual Antiplatelet Therapy:A Systematic Review for the 2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J].J Am Coll Cardiol,2016,68(10):1116-1139.
[2] Qiao M,Bi Q,Fu P,et al.Previous hypertensive hemorrhage increases the risk for bleeding and ischemia for PCI patients on dual antiplatelet therapy[J].Neurol Res,2017,39(6):516-520.
[3] 钱海燕,王征,何冀芳,等.75岁以上老年抗栓治疗专家共识[J].中国循环杂志,2017,32(6):531-538.
[4] Manoukian SV,Feit F,Mehran R,et al.Impact of major bleeding on 30-day mortality and clinical outcomes in patients with acute coronary syndromes:an analysis from the ACUITY Trial[J].J Am Coll Cardiol,2007,49(12):1362-1368.
计量
- 文章访问数: 152
- PDF下载数: 25
- 施引文献: 0