阿司匹林、噻氯匹啶、肝素预防冠状动脉支架亚急性血栓形成的效果Combination of asprin、ticlopidine、heparin in the prevention of subacute stent thrombosis
郑鹏翔,华尔铨,何祚佑,张书富,陈德
摘要(Abstract)：
目的 观察阿司匹林、噻氯匹啶、肝素预防冠状动脉支架亚急性血栓形成（ＳＳＴ）的效果。方法 自１９９７ 年７ 月至１９９９ 年４ 月对３６ 例冠心病患者植入３３ 只支架。男３２ 例，女 ４ 例，平均年龄６３．２ 岁，成功率为９２％ 。所有病例术前３ 天均改为阿司匹林３００ ｍ ｇ，日一次；噻氯匹啶２５０ ｍ ｇ，日二次。动脉穿刺成功后注射肝素５ ０００ Ｕ，以后每小时给予８００ Ｕ～１ ０００ Ｕ 肝素，维持２４ 小时。术后次日口服阿司匹林（３００ ｍ ｇ，日一次）６ 个月，噻氯匹啶（２５０ ｍ ｇ，日二次）１ 个月。结果 随访１～２ 个月，未见亚急性血栓形成。结论 阿司匹林、噻氯匹啶、肝素三联疗法对预防ＳＳＴ可能安全、有效
关键词(KeyWords)： 亚急性血栓;冠状动脉支架;抗凝;随访
基金项目(Foundation):
作者(Author): 郑鹏翔,华尔铨,何祚佑,张书富,陈德
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