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静脉血栓塞栓症自发性脑内出血后的预防:一篇评论
Chang Dong1, Ying Li2, Zhuang Ma Md3,4
1Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Dalian Medical University.
The neurologist
|August 15, 2023
概括
建议在入院时为自发性脑内出血 (sICH) 患者提供间歇性气压的机械预防. 早期的药理学VTE预防是安全有效的肺栓塞预防后止血.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 血液学 血液学 血液学
背景情况:
- 患有自发性脑内出血 (sICH) 的患者面临静脉血栓栓塞 (VTE) 的高风险.
- 在SICH中,VTE预防非常重要,但由于对大脑血液瘤扩张的担忧,这是具有挑战性的.
- 目前关于最佳VTE预防策略的指导方针和证据尚不清楚.
结论:
- 预防和管理VTE对于SICH患者来说至关重要.
- 在入院时应开始机械预防 (间歇性气动压缩).
- 早期的药理性VTE预防 (发病后24-48小时) 对于停止出血后的肺栓塞预防是安全有效的.
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