在初级皮肤冠状动脉干预后一天,成功地在蒂卡格勒治疗中进行了剖腹产
Nebojsa Antonijevic1,2, Predrag Mitrovic1,2, Nikola Gosnjic3
1Clinic for Cardiology, University Clinical Center of Serbia, 11 000 Belgrade, Serbia.
Journal of personalized medicine
|September 28, 2023
概括
本案例研究报告了一名患有急性心肌梗塞 (MI) 的孕妇,在双抗血小板治疗 (DAPT) 期间接受了紧急剖腹产. 手术没有停止提卡格雷勒的治疗,证明了在关键产科情况下的安全方法.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
背景情况:
- 双抗血小板疗法 (DAPT) 对手术干预提出了重大挑战,特别是在产科病例中.
- 怀孕期间急性心肌梗塞 (MI) 是一种罕见但严重的并发症,需要谨慎管理.
- 心脏性休克进一步复杂化了临床情况,需要紧急干预.
研究的目的:
- 描述DAPT的孕妇中剖腹产的一个独特案例.
- 评估执行紧急手术的可行性和安全性,而不停止服用提卡格勒罗.
- 突出在关键产科情景中管理DAPT的管理策略.
主要方法:
- 一名32岁的孕妇在38周怀孕时出现了急性腹侧肌梗塞和心脏性休克.
- 她接受了药物释放式支架植入和双重抗血小板治疗 (阿司匹林和提卡格雷勒) 的治疗.
- 根据多板聚合计结果,在不停止服用提卡格勒勒的前提下,进行了紧急剖腹产,并采取了局部静血措施,包括tranexamic acid.
主要成果:
- 剖腹产成功进行,没有过度出血.
- 一个健康的男婴出生.
- 手术后的结果是有利的,没有主要的出血并发症归因于DAPT.
结论:
- 这一案例表明,在接受DAPT的孕妇中,可以安全地进行紧急剖腹产,而无需停止服用提卡格勒.
- 仔细评估血小板抑制和利用局部静血技术至关重要.
- 这是首次报告此类干预的案例,为管理类似复杂的产科病例提供了宝贵的见解.
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