Early anticoagulation in patients with prosthetic heart valves and intracerebral hematoma

被引:31
作者
Leker, RR [1 ]
Abramsky, O [1 ]
机构
[1] Hebrew Univ Jerusalem, Hadassah Med Ctr, Hadassah Med Sch, Dept Neurol, IL-91120 Jerusalem, Israel
关键词
D O I
10.1212/WNL.50.5.1489
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Anticoagulants are generally contraindicated in patients with intracerebral hematoma. However, in patients with prosthetic heart valves it may be dangerous to withhold such therapy because of possible thromboembolic complications. We treated four such patients with IV heparin starting early after the hemorrhage. The hematomas receded in all patients according to the follow-up CTs, and none had thromboembolic disorders. Three patients had good outcomes, and one remained in a persistent vegetative state after an event of acute pulmonary edema.
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页码:1489 / 1491
页数:3
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