经皮冠状动脉介入术后脑出血三例报道及救治经验、教训

Cerebral Hemorrhage after Percutaneous Coronary Intervention:Three Cases Reports and Treatment Experience

脑出血是经皮冠状动脉介入术(PCI)最为严重而罕见的出血类型,主要与高龄、短暂性脑缺血发作(TIA/卒中病史、收缩压较高及大量使用抗栓药物等有关。PCI后脑出血的治疗存在一定矛盾,因此目前停用及恢复抗栓药物治疗时机、药物的选择等尚无定论。本文报道了3例PCI后脑出血患者并总结了其救治经验、教训,旨在提高临床医生对PCI后脑出血的认识,并根据患者临床情况灵活决策,以更好地进行个体化诊疗。

Cerebral hemorrhage is the most serious but rare hemorrhagic event after percutaneous coronary intervention(PCI),which mainly related with advanced age,medical history of TIA/stroke,elevation of blood systolic pressure,heavy use of antithrombotic drugs and so on.Treatment of cerebral hemorrhage after PCI is ambivalent,so the selection,withdrawal time and recovery time of antithrombotic drugs is still inconclusive at present.This paper reported three cases of cerebral hemorrhage after PCI and summarized the treatment experience,in order to improve the clinical knowledge,thus to guide the flexible decision-making,individualized diagnosis and treatment.