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1、支架术后患者非心脏手术的围术期抗血小板治疗吕慧秦永文[摘要]目前越来越多的患者接受冠状动脉造影及冠脉支架植入术,冠状动脉支架术后双重抗血小板治疗成为冠心病支架术后防止血栓形成及再发心肌梗死的重要手段,但支架植入术后非心脏手术及侵入性操作会增加血栓形成的风险,医生不得不面临术前停用双重抗血小板治疗避免出血及围术期血栓形成的两难境地。基于此,既往回顾性的研究表明停用抗血小板治疗产生的冠脉血栓形成风险高于术中出血。因此建议终身服用阿司匹林,氯吡格雷应持续使用直至支架完全内皮化。在非心脏手术中可继续服用阿司匹林,可停用氯吡格雷以过渡治疗取
2、代,减少血栓及出血风险。经皮冠状动脉介入；支架内血栓；抗血小板治疗；非心脏手术；围术期10.3969/j.issn.1673-6583.2011.06.010200433上海,第二军医大学附属长海医院心血管内科万方数据·351·万方数据@@[1]Lloyd-JonesD,AdamsR,CuarnethonM,etal.Heartdiseaseandstrokestatistics:2009update-areportfromtheAmericanHeartAssociationStatisticsCommitteeandStrok
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