临床药师参与1例急性心肌梗死合并消化道出血患者抗血小板治疗的病例分析

Clinical pharmacist participating in the antiplatelet therapy of a patient with myocardial infarction complicated with gastrointestinal bleeding

急性心肌梗死是一种常见的危急、严重的心血管疾病。上消化道出血是其主要并发症之一,是导致患者病情恶化甚至死亡的重要原因。急性心肌梗死合并消化道出血的患者应用抗栓药物受到限制,停用抗栓药物可能导致血栓事件,也会增加死亡风险。本文报告临床药师参与1例急性心肌梗死合并消化道出血患者抗血小板治疗的病例分析,以期为心肌梗死合并消化道出血的抗栓治疗提供依据。

Acute myocardial infarction(AMI)is a common and serious cardiovascular disease.Upper gastrointestinal bleeding is also one of the main complications,which is an important cause for the deterioration or even death of patients’condition.The use of antithrombotic drugs in patients with AMI and gastrointestinal bleeding is limited,and discontinuation of antithrombotic drugs may lead to thrombotic events,which may increase the risk of death.This article reported one patient with AMI complicated with alimentary tract hemorrhage and a clinical pharmacist participated in the antithrombotic therapy,providing evidence for the antithrombotic therapy for patients with myocardial infarction complicated with gastrointestinal bleeding.