[由于动脉样硬化而导致过渡性缺血性发作或中风的患者的二次预防]
1Medicina Interna Vascolare d'Urgenza e Stroke Unit, Ospedale Santa Maria della Misericordia, Università degli Studi, Perugia.
概括
对于影响动脉的大血管疾病的患者,本综述涵盖了用于二次中风预防的医疗,手术和内血管策略. 它为早期和长期护理的临床实践中应用这些干预措施提供了指导.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 干预心脏病学 干预心脏病学
背景情况:
- 脑血管发作是由于大脑动脉的大血管疾病引起的,这意味着有很大的二次中风风险.
- 有效的二次预防对于管理患有动脉疾病的患者至关重要.
研究的目的:
- 审查和比较可用的干预策略,用于二次预防,在患有冠状动脉疾病的患者.
- 为这些策略的临床应用提供基于证据的建议.
主要方法:
- 关于医学 (抗血小板治疗),手术 (内肠切除术) 和内血管 (支架) 干预的综合文献综述.
- 对治疗疗效的分析和对二次中风预防的患者选择标准.
主要成果:
- 医疗管理包括单一或双重抗血小板治疗.
- 手术和内血管选择为特定的患者亚组提供了重血管化.
- 最佳的策略选择取决于早期与长期预防的考虑.
结论:
- 结合医疗,外科和内血管策略的多式方法对于动脉疾病的二次预防至关重要.
- 根据个体患者的因素和预防时间表来定制干预措施可以改善结果.
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