摘要
急性心肌梗死患者存在脑卒中病史者并不少见,而既往脑卒中病史为急性心肌梗死的处理带来了一系列的临床问题。常规心肌梗死处理过程中存在的抗血小板、抗凝、溶栓和经皮冠状动脉介入治疗可能会造成卒中复发,尤其是致命性的颅内出血,导致心血管医生在处理急性心肌梗死时面临两难抉择。文章对既往卒中患者出现急性心肌梗死时如何选择介入治疗、溶栓治疗或保守治疗策略,以及抗血小板、抗凝治疗对卒中的影响进行了阐述,以提高医生的临床实践能力。
It is not rare that acute myocardial infarction patients have prior stroke history,which brings a serious of clinical problems in management of myocardial infarction. The antiplatelet, anticoagulation, thrombolysis and pcrcutaneous coronary intervention therapy in treatment of myocardial infarction may cause recurrent stroke, especially the life-threatening intracranial hemorrhage. This leads to the dilemma confronted by cardiovascular practitioners. In this article, we represent how to make intervention, thrombolysis or conservative strategy in acute myocardial infarction patients with prior stroke history, and the effect of antiplatelet and anticoagulation on stroke, to help to improve our clinical practices.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2011年第5期327-329,共3页
Chinese Journal of Practical Internal Medicine
关键词
心肌梗死
卒中
溶栓
介入治疗
myocardial infarction
stroke
thrombolysis
intervention
