中国实用内科杂志2009,Vol.29Issue(11):991-993,3.
急性脑梗死的早期抗凝治疗
Anticoagulants for patients with acute cerebral infarction
王婷 1吴卫平1
作者信息
- 1. 解放军总医院南楼神经内科,北京,100853
- 折叠
摘要
Abstract
A large metaanalysis showed that immediate anticoagulation of patients with acute ischemic stroke was not associated with a significant reduction in death or dependency. The heparin data from the International Stroke Trial(IST) suggest that the use of early unmonitored subcutaneous heparin willreduce early stroke recurrence risks, but these benefits can be eliminated by increased hemorrhagic complications. The use of lower doses of heparin may provide more benefits rather than hemorrhagic side effects. We recommend early anticoagulation for various specific stroke subgroups including cardioembolic stroke, progressing stroke, stroke due to large-artery atherosclerotic stenosis, documented intra-luminal thrombus,and deep venous thrombosis prophylaxis.关键词
急性脑梗死/抗凝治疗Key words
acute cerebral infarction/ anticoagulation分类
医药卫生引用本文复制引用
王婷,吴卫平..急性脑梗死的早期抗凝治疗[J].中国实用内科杂志,2009,29(11):991-993,3.