抗血小板疗法在动脉瘤下arachnoid 出血:一个更新的元分析
Keng Siang Lee1,2, Cheyenne Lee3, Permesh S Dhillon4
1Department of Neurosurgery, King's College Hospital, London, UK. mrkengsianglee@gmail.com.
Neurosurgical review
|September 4, 2023
概括
动脉瘤下关节出血 (aSAH) 后的抗血小板治疗 (AT) 减少了延迟的大脑缺血和血管. 创伤后的AT改善了功能结果和生存率,而不会增加出血风险.
科学领域:
- 神经科学是一个神经科学.
- 心血管医学 心血管医学
- 临床试验 临床试验
背景情况:
- 动脉瘤下关节出血 (aSAH) 可以诱导大脑循环中的前凝状态.
- 抗血小板治疗 (AT) 正在探索其在aSAH后减轻这些影响的潜力.
- 关于在aSAH之后AT的疗效存在相互矛盾的证据.
结论:
- 在aSAH患者中,心跳后的抗血小板治疗与减少DCI和血管有关.
- AT与更好的功能结果和较低的住院死亡率有关.
- 在aSAH后使用AT并不会增加出血并发症的风险.
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