医学
脑出血
肝素
血肿
冲程(发动机)
入射(几何)
风险因素
栓子
麻醉
脑梗塞
外科
梗塞
心脏病学
内科学
缺血
心肌梗塞
蛛网膜下腔出血
工程类
物理
光学
机械工程
作者
Manuel Ramirez‐Lassepas,Mario R. Quinones
出处
期刊:Neurology
[Ovid Technologies (Wolters Kluwer)]
日期:1984-01-01
卷期号:34 (1): 114-114
被引量:47
摘要
Hemorrhages occurred in 16 (3.1%) of 510 patients treated with continuous intravenous heparin for acute cerebral infarction (269), reversible ischemic neurologic deficit (81), or transient ischemic attack (160). Three patients (0.6%) had intracerebral hematomas. Risk factors included abnormal CT within 24 hours of onset of symptoms (3.2%), severe neurologic deficit (2.8%), two acute infarcts by CT (2.1%), known source of embolus (1.3%), and final diagnosis of cerebral infarction (1.1%). The only identifiable risk factor for systemic hemorrhage (GI 1.0%, GU 0.8%, muscle 0.4%, skin 0.1%) was age over 60 years. The incidence of intraspinal hematoma was 0.6%. Two of the intracerebral hematomas were fatal, and mortality was 31% in patients with hemorrhagic complications; however, the risk of CNS hemorrhage was only 0.8%.
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