原发性脑出血后静脉血栓栓塞的预防  

Prevention of venous thromboembolism after primary intracerebral hemorrhage

作　　者：李佩佩[1] 王金荣[1] 马耿[1] 高秀玲[1] 崔朝勃[1] 

机构地区：[1]河北医科大学附属衡水哈励逊国际和平医院呼吸与重症医学科,衡水053000

出　　处：《国际脑血管病杂志》2016年第3期244-247,共4页International Journal of Cerebrovascular Diseases

摘　　要：静脉血栓栓塞包括深静脉血栓形成和肺栓塞，是神经科较为常见且可以预防的并发症。对静脉血栓栓塞的预防是脑出血患者治疗中的重要组成部分，其措施包括机械预防和药物预防。机械性预防措施包括间歇气动加压装置和梯度压力弹力袜。研究提示，抗凝药预防亦发挥着重要的作用。全面系统地了解脑出血后静脉血栓栓塞的预防，将有助于指导临床和改善患者的转归。Venous thromboembolism includes deep venous thrombosis and pulmonary embolism. It is a more common and preventable complication in neurology. The prevention of venous thromboembolism is an important component in the treatment of the patients with cerebral hemorrhage. The measures include mechanical prevention and drug prevention. The mechanical prevention measures include intermittent pneumatic compression devices and pressure gradient elastic stockings. Studies have suggested that anticoagulants also plays an important role in the prevention of venous thromboembolism. The comprehensive and systematic understanding of the prevention of venous thromboembolism wil help to guide the clinical therapy and improve the outcomes of patients after primary intracerebral hemorrhage.

关 键 词：脑出血 静脉血栓形成 静脉血栓栓塞 肺栓塞 抗凝药 肝素 低分子量 长袜 压缩 间歇气动加压装置 

分 类 号：R743.34[医药卫生—神经病学与精神病学]