急性冠状动脉综合征患者抗栓抗凝期间出血并发症现状研究
被引量:3
摘要
随着急诊溶栓,介入及冠状动脉搭桥术的广泛开展,抗凝及抗血小板药物在急性冠状动脉综合征(acutecoronarysyndrome,acs)治疗领域越来越多的应用,出血并发症逐渐引起人们的关注。住院期间发生大出血是ACS最严重的并发症之一。出血与临床不良事件密切相关,包括再发缺血事件和死亡^[1]。基于循证医学临床指南强调的高强度的抗凝、抗血小板治疗是导致出血的主要原因之一。
出处
《心肺血管病杂志》
CAS
2012年第4期492-495,共4页
Journal of Cardiovascular and Pulmonary Diseases
参考文献24
-
1Potsis TZ,Katsouras C,Goudevenos JA,et al.Avoiding andmanaging bleeding complications in patients with non-ST-segmentelevation acute coronary syndromes.Angiology,2009,60:148-158.
-
2Moscucci M,Fox KA,Cannon CP,et al.Predictors of major bleed-ing in acute coronary syndromes:the global registry of acute coro-nary events(GRACE).Eur Heart J,2003,24:1815-1823.
-
3Berkowitz SD,Granger CB,Pieper KS,et al.Incidence and pre-dictors of bleeding after contemporary thrombolytic therapy formyocardial infarction.The global utilization of streptokinase andtissue plasminogen activator for occluded coronary arteries(GUS-TO)I investigators.Circulation,1997,95:2508-2516.
-
4Marianne M,Kathleen A Stringer A,et al.Discrepancies in Iden-tification of bleeding events after percutaneous coronary Interven-tion.Pharmacotherapy 2007,27:36-40.
-
5Leviue MN,Hirsh J,Landefeld S.Hemorrhagic complications ofanticoagulant.Chest,1992,102:352-363.
-
6Serebruany VL,Gurbel PA,Shustov AR,et al.Depressed plateletstatux in a elderly patient with hemorrhagic stroke after thrombol-ysis for acrte myocardial infarction.Stroke,1998,29:235-238.
-
7Gore JM,Granger CB simoons ML,et al.Stroke after thrombolysismortality andfunctional outcomes in the GUSTO-I trial.Circula-tion,1995,92:2811-2818.
-
8Abbas AE,Brodie B,Dixon S,et al.Incidence and Prognostic In-cidence and prognostic impact of gastrointestinal bleeding afterpercutaneous coronary intervention for acute myocardial infarc-tion.Am J Cardiol,2005,96:173-176.
-
9龙小毛,林辉,李香伟.16例心血管病术后消化道出血病因分析[J].心肺血管病杂志,2008,27(5):295-296. 被引量:9
-
10Jervis P,Mason JD,Tones NS.Streptokinase and facial haemato-ma.Postgrad Med J,1995,71:114-115.
二级参考文献20
-
1杨人强,程晓曙,苏海,吴清华,吴延庆,洪葵,姜醒华,徐劲松,程应樟,李运德.质子泵抑制剂对老年急性心肌梗死患者抗栓治疗中消化道出血的预防作用[J].心肺血管病杂志,2010,29(S1):66-66. 被引量:2
-
2郭惠明,张镜芳,吴若彬,郑少忆,卢聪,范瑞新,杨红伟.心脏手术后腹部并发症[J].中山大学学报(医学科学版),2004,25(B07):271-273. 被引量:4
-
3钟前进,王建军,肖颖彬.腹部并发症与体外循环心脏手术[J].第三军医大学学报,2005,27(12):1301-1302. 被引量:8
-
4黄从新,马长生,杨延宗,黄德嘉,张澍,江洪,杨新春,吴书林,马坚,刘少稳,李莉,曹克将,王方正,陈新.心房颤动:目前的认识和治疗建议(二)[J].中华心律失常学杂志,2006,10(3):167-197. 被引量:269
-
5Barry AA,Kumbhani DJ,Hehon TJ,et al.Late thrombosis of drug-eluting stents:a meta-analysis of randomized clinical trials.Am J Med,2006,119:1056-1061.
-
6Oudot A,Steg PG,Danchin N,et al.Impact of chronic oral anticoagulation on management and outcomes of patients with acute myocardial infarction:data from the RICO survey.Heart,2006,92:1077-1083.
-
7Lip GY,Karpha M.Anticoagulant and antiplatelet therapy use in patients with atrial fibrillation undergoing percutaneous coronary intervention:the need for consensus and a management guideline.Chest,2006,130:1823-1827.
-
8Rubboli A,Colletta M,Herzfeld J,et al.Periprocedural and medium-term antithrombotic strategies in patients with an indication for long-term anticoagulation undergoing coronary angiography and intervention.Coron Artery Dis,2007,18:193-199.
-
9Porter A,Koustantino Y,Iakobishvili Z,et al.Shortterm triple therapy with aspirin,warfarin,and a thienopyridine among patients undergoing percutaneous coronary intervention.Catheter Cardiovasc Interv,2006,68:56-61.
-
10Mattichak SJ,Reed PS,Gallagher MJ,et al.Evaluation of safety of warfarin in combination with antiplatelet therapy for patients treated with coronary stents for acute myocardial infarction.J Interv Cardiol,2005,18:163-166.
共引文献17
-
1陈光献,郑莹,熊迈,唐白云,吴钟凯.心血管手术后消化道出血临床分析[J].中华普通外科学文献(电子版),2009,3(5):41-43. 被引量:5
-
2周晔,王建华,刘冰,贾明,刘晓明,贾士杰.泮托拉唑对体外循环手术患者胃内酸碱度的影响[J].心肺血管病杂志,2010,29(3):197-199. 被引量:3
-
3饶丹,张勤斌,王嬿,黄圆琴,罗能贞,陈绪发.埃索美拉唑对体外循环心脏手术应激性溃疡保护作用的临床观察[J].心肺血管病杂志,2011,30(1):17-19. 被引量:13
-
4黄园琴,饶丹,胡大清.埃索美拉唑与奥美拉唑对体外循环手术患者胃内pH影响[J].药物流行病学杂志,2011,20(6):279-280. 被引量:1
-
5陈艳玲,陈光献,曾讯,唐白云.心脏手术后消化道并发症的原因分析[J].中华普通外科学文献(电子版),2011,5(5):63-64. 被引量:6
-
6李杰,刘双.华法林抗凝治疗剂量预测的研究进展[J].心肺血管病杂志,2012,31(4):496-498. 被引量:7
-
7万兴才,黄丙森,赵利华.人工心脏瓣膜置换术后前降支慢性闭塞性病变开通致冠脉穿孔1例[J].中国老年学杂志,2013,33(2):411-413. 被引量:2
-
8魏晓红,张近宝,辛梅,岳琴,李军.乌司他丁对体外循环瓣膜置换术患者胃黏膜的保护作用研究[J].西南军医,2013,15(3):247-249. 被引量:5
-
9梁祥文,李平,甘剑挺.冠状动脉支架术后不同抗凝方法的临床研究[J].中国临床药理学杂志,2013,29(12):919-921. 被引量:5
-
10曾玲,廖尧,钱永军.心脏手术术后消化道出血的研究进展[J].中国胸心血管外科临床杂志,2019,26(1):97-100. 被引量:5
同被引文献32
-
1王建安.高度关注出血带来的不良后果——2011年ESC非持续性ST段抬高急性冠状动脉综合征患者管理指南解读[J].中国循环杂志,2012,27(S01):24-26. 被引量:2
-
2孔繁立.成启予辨治急性心肌梗塞经验[J].江西中医药,1994,25(3):11-12. 被引量:5
-
3邵峰.冠脉内应用替罗非班治疗急性冠脉综合征合并糖尿病的临床研究[J].实用心脑肺血管病杂志,2010,18(12):1831-1833. 被引量:3
-
4黄宇理,包宗明,高大胜.急性冠脉综合征合并2型糖尿病临床分析[J].实用全科医学,2007,5(2):99-100. 被引量:15
-
5Lewandowski P. Subarachnoid haemorrhage imitating acute coronary syndrome as a cause of out of hospital cardiac arrest case report[J]. Anaesthesiol Intensive Ther, 2014, 46 (4) 289-292.
-
6Hulley JL, Higham DP. 15 Incidence and Outcome from Up- per GI Haemorrhage in the First Year following an Acute Coronary Syndrome[J]. Heart, 2015, 101(suppl 4):A9.
-
7Anusionwu O, Madanieh R, Ledley G. Bivalirudin use in the elderly for acute coronary syndrome [J]. Br J Med Res, 2015, 5(7):589 592.
-
8Quraishi S, Arya S. A case of paraplegia post treatment for a- cute coronary syndrome[J]. Br J Hosp Med (Lond), 2013, 74(4) 231.
-
9Cardin C, Roncalli J, Lairez O. Subarachnoid haemorrhage associated with midventricular Tako-Tsubo syndrome[J]. Int y Cardiol, 2011, 146(2) : e46-e48.
-
10Delewi R, Zijlstra F, Piek JJ. Acute Coronary Syndromes: Left ventricular thrombus formation after acute myocardial infarction[J]. Heart, 2012, 98(23)..1743-1749.
引证文献3
-
1陈婧.急性冠状动脉综合征患者出血事件发生的相关因素分析[J].医学临床研究,2016,33(7):1285-1287.
-
2郑时康,任晖,祝鹏,李静,王甲文,袁搏,高天林,王蕊.急性冠状动脉综合征患者并发出血的相关因素分析[J].岭南心血管病杂志,2016,22(4):409-411. 被引量:1
-
3曹旺波,陈丽丽,岳丽娜,秦俊岭.心悦胶囊对介入后合并糖尿病的急性冠脉综合征的临床研究[J].世界中西医结合杂志,2017,12(3):410-413. 被引量:3
二级引证文献4
-
1李迪,何元军,潘雪琴.急性冠脉综合征患者发生焦虑情绪状况及影响因素分析[J].医学临床研究,2018,35(8):1490-1492. 被引量:5
-
2刘源远,陈峰,白玉,曲红霞,刘依凌.心悦胶囊联合替罗非班对急性心肌梗死PCI术患者心功能及心血管不良事件的影响[J].现代生物医学进展,2021,21(21):4158-4162. 被引量:3
-
3李岩,刘瑞英.心悦胶囊联合硫酸氢氯吡格雷片对急性心肌梗死介入治疗患者炎性反应及氧化应激的影响[J].上海医药,2021,42(23):61-63.
-
4潘登,郭明,王培利,杨巧宁,白瑞娜,史大卓.心悦胶囊对介入术后稳定性冠心病患者中医症状评分和hs-CRP、血脂水平影响的随机对照研究[J].中国中西医结合杂志,2022,42(6):680-684. 被引量:7