基础医学与临床 ›› 2017, Vol. 37 ›› Issue (3): 396-398.

• 临床园地 • 上一篇    下一篇

急诊颅脑手术合并心脏支架术后动态监测血小板功能1例报告

蒲佐1,魏俊吉2,刘小海1,吴昊1,马百涛1,王任直3,刘大为1,柴文昭1,刘震宇1   

  1. 1. 北京协和医院
    2. 中国医学科学院北京协和医院神经外科
    3. 中国医学科学院 北京协和医学院 北京协和医院 神经外科
  • 收稿日期:2016-03-02 修回日期:2016-05-29 出版日期:2017-03-05 发布日期:2017-02-23
  • 通讯作者: 魏俊吉 E-mail:weijj1999@163.com

Dynamic monitoring platelet function in a traumatic brain injury patient after percutaneous coronary intervention

  • Received:2016-03-02 Revised:2016-05-29 Online:2017-03-05 Published:2017-02-23
  • Contact: Jun-ji WEI, E-mail:weijj1999@163.com

摘要: 重型颅脑创伤患者病情危重,病情进展极快,后期并发症多,诊断有一定困难,治疗颇为复杂,病死率高。在颅脑损伤合并冠心病支架术后长期服用双抗药物的治疗中,围手术期密切监测血小板聚集试验以平衡预防出血与心脏事件之间的矛盾极为关键。现报告动态监测血小板功能应用于急诊颅脑手术合并心脏支架术后患者一例。

关键词: 创伤性颅脑损伤, 冠状动脉粥样硬化性心脏病, 抗血小板治疗, 血小板聚集试验, 手术

Abstract: Traumatic brain injury is tricky to deal wih due to various factors like severe condition, complicated diagnosis and treatment,rapid development of illness,multiple complications at the later stage along with high fatality rate. In this case, the patient had taken dual anti-platelet drugs in long term after operation.It’s of tremendous importance to closely monitor the platelet function of the patient so as to balance between the prevention of bleeding and possible heart diseases.The assay reports one case of applying dynamic platelet function monitoring after operation.

Key words: traumatic brain injury, coronary atherosclerotic cardiopathy, antiplatelet therapy, platelet aggregation assay, operation

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