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脑出血合并肺栓塞的抗凝治疗

周果 任涛

临床与病理杂志2023,Vol.43Issue(12):2176-2181,6.
临床与病理杂志2023,Vol.43Issue(12):2176-2181,6.DOI:10.11817/j.issn.2095-6959.2023.230413

脑出血合并肺栓塞的抗凝治疗

Anticoagulant treatment of intracerebral hemorrhage combined with pulmonary embolism

周果 1任涛1

作者信息

  • 1. 十堰市太和医院/湖北医药学院附属医院呼吸与危重症学科,湖北 十堰 442000
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摘要

Abstract

Patients with intracerebral hemorrhage(ICH)are prone to develop pulmonary embolism(PE).With the increasing data on anticoagulant therapy for ICH combined with venous thrombosis(VTE),the quality of anticoagulant therapy is recommended by the guidelines for ICH combined with VTE.The timing of initiating anticoagulant therapy is crucial when the cerebral hematoma is stable.Most hypertensive ICH cases stabilized within 30 minutes,so the choice of timing for anticoagulant therapy has evolved from exploring and comparing the occurrence of cerebral rebleeding with anticoagulant therapy at different times to evaluating the efficacy of anticoagulant therapy before and after 24 or 48 hours of cerebral hematoma stabilization.Summarizing the research data and guideline recommendations on ICH patients combined with VTE will help clinicians choose anticoagulants and determine the timing of anticoagulation in similar situations.

关键词

脑出血/肺栓塞/抗凝治疗

Key words

intracerebral hemorrhage/pulmonary embolism/anticoagulant therapy

引用本文复制引用

周果,任涛..脑出血合并肺栓塞的抗凝治疗[J].临床与病理杂志,2023,43(12):2176-2181,6.

临床与病理杂志

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