急性心肌梗死患者经皮冠状动脉介入治疗术后脑出血成功治疗1例
查宗怡,廖付军
摘要(Abstract):
<正>1临床资料患者男,64岁,因"冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后4年,胸痛10h"于2019年10月11日入住贵州医科大学附属医院。4年前因活动后出现胸前区持续性隐痛,于外院诊断为"冠心病",并置入支架一枚(具体不详),术后未规律服用抗血小板及他汀类药物。10h前患者于体力活动后再次出现心前区持续性隐痛,难以忍受,持续时间为30min,休息后无缓解,无恶心、呕吐,无呼吸困难。患者夜间先后出现3次头昏并摔倒,伴头皮出血,无头痛、偏瘫、失语、意识障碍及二便失禁等,第3次摔倒后由家属送至当地医院完善
关键词(KeyWords): 急性心肌梗死;经皮冠状动脉介入治疗;脑出血;抗血小板策略
基金项目(Foundation):
作者(Author): 查宗怡,廖付军
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