ACUTE MANAGEMENT OF INTRACRANIAL HEMORRHAGE IN PATIENTS RECEIVING THROMBOLYTIC THERAPY - CASE-REPORTS

被引：13

作者：

ELEFF, SM

BOREL, C

BELL, WR

LONG, DM

机构：

[1] JOHNS HOPKINS UNIV, SCH MED, NEUROSCI CRIT CARE UNIT, BALTIMORE, MD 21205 USA

[2] JOHNS HOPKINS UNIV, SCH MED, DIV HEMATOL, BALTIMORE, MD 21205 USA

[3] JOHNS HOPKINS UNIV, SCH MED, DEPT NEUROSURG, BALTIMORE, MD 21205 USA

来源：

NEUROSURGERY | 1990年 / 26卷 / 05期

关键词：

anticoagulants; cerebral hemorrhage; fibrinolytic agents; plasminogen activator; steptokinase; urokinase;

D O I：

10.1227/00006123-199005000-00022

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Intracranial hemorrhage is an uncommon complication of antithrombotic therapy. We present two patients who suffered life-threatening intracranial bleeding as a complication of thrombolytic/anticoagulant treatment. Early diagnosis and treatment appear to be crucial factors for survival. We suggest an approach to perioperative management for intracranial hemorrhage resulting from antithrombotic therapy.

引用

页码：867 / 869

页数：3

共 13 条

[1]

[Anonymous], 1988, LANCET, V2, P349

[2] CURRENT CONCEPTS - GUIDELINES FOR THE USE OF THROMBOLYTIC AGENTS [J].

BELL, WR ;

MEEK, AG .

NEW ENGLAND JOURNAL OF MEDICINE, 1979, 301 (23) :1266-1270

[3]

FENNERTY AG, 1989, CHEST, V95, pS88

[4] ANTICOAGULANT-RELATED INTRACEREBRAL HEMORRHAGE [J].

KASE, CS ;

ROBINSON, RK ;

STEIN, RW ;

DEWITT, LD ;

HIER, DB ;

HARP, DL ;

WILLIAMS, JP ;

CAPLAN, LR ;

MOHR, JP .

NEUROLOGY, 1985, 35 (07) :943-948

[5] INTRACRANIAL HEMORRHAGE AND INFARCTION IN ANTI-COAGULATED PATIENTS WITH PROSTHETIC HEART-VALVES [J].

LIEBERMAN, A ;

HASS, WK ;

PINTO, R ;

ISOM, WO ;

KUPERSMITH, M ;

BEAR, G ;

CHASE, R .

STROKE, 1978, 9 (01) :18-24

[6] A NOVEL WHOLE-BLOOD CAPILLARY TECHNIQUE FOR MEASURING THE PROTHROMBIN TIME [J].

LUCAS, FV ;

DUNCAN, A ;

JAY, R ;

COLEMAN, R ;

CRAFT, P ;

CHAN, B ;

WINFREY, L ;

MUNGALL, DR ;

HIRSH, J .

AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1987, 88 (04) :442-446

[7]

Marder V.J., 1987, HEMOSTASIS THROMBOSI, P1393

[8]

SCHRODER R, 1986, NEW ENGL J MED, V314, P1465

[9]

SCHULMAN S, 1984, THROMB HAEMOSTASIS, V51, P261

[10]

SNYDER M, 1977, SURG NEUROL, V7, P31

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