1例冠状动脉支架植入术后患者行髋关节翻修术的围术期抗栓治疗并文献复习
投稿时间:2021-03-25  修订日期:2021-06-09  点此下载全文
引用本文:李莹,曹爱霖,鲍蕾蕾,王占坤,钱皎.1例冠状动脉支架植入术后患者行髋关节翻修术的围术期抗栓治疗并文献复习[J].药学实践杂志,2022,40(4):372~373,386
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作者单位E-mail
李莹 海军军医大学第一附属医院药学部, 上海 200433
上海市皮肤病医院同济大学附属皮肤病医院药剂科上海 200443 
 
曹爱霖 海军军医大学第一附属医院药学部, 上海 200433  
鲍蕾蕾 海军军医大学第一附属医院药学部, 上海 200433  
王占坤 保定市第二中心医院药剂科, 河北 保定 072750  
钱皎 海军军医大学第一附属医院药学部, 上海 200433 qianjiaosmmu@163.com 
基金项目:2019年上海市“医苑新星”青年医学人才培养资助计划;上海市科学技术委员会科研计划项目(18401933000)
中文摘要:目的 探讨冠状动脉支架植入术后患者行髋关节翻修术围术期抗栓治疗策略。方法 对1例冠状动脉支架植入术后患者行髋关节翻修术的抗栓治疗进行分析,并进行相关文献复习。结果 患者术后出现急性非ST段抬高性心肌梗死,系因术前3 d即停用阿司匹林,期间亦未用低分子肝素桥接抗凝所致,并对术后急性冠状动脉综合征抗栓及静脉血栓栓塞症预防方案进行分析。结论 冠状动脉支架植入术后行髋关节翻修术患者围术期应平衡血栓形成与出血风险,合理选择抗栓治疗方案。
中文关键词:冠状动脉支架植入术  髋关节翻修术  围术期  抗栓治疗
 
Perioperative antithrombotic therapy in the patient undergoing revision total hip arthroplasty after coronary stent implantation: a case report and literature review
Abstract:Objective To explore the strategies of perioperative antithrombotic therapy in the patient undergoing revision total hip arthroplasty after coronary stent implantation. Methods The antithrombotic therapy in one patient undergoing revision total hip arthroplasty after coronary stent implantation was analyzed with the review of related literatures. Results The patient developed non-ST segment elevated myocardial infarction due to the stop of aspirin three days before operation and no low molecular weight heparin was used. The antithrombotic treatment and prevention of venous thromboembolism were analyzed. Conclusion Antithrombotic therapy should be selected reasonably in patients undergoing revision total hip arthroplasty after coronary stent implantation.
keywords:coronary stent implantation  revision total hip arthroplasty  perioperative period  antithrombotic therapy
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