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8li ji xing guan mai zong he zheng he bing shang xiao hua dao chu xue de zhi liao ti hui
Author(s): 
Pages: 182-184
Year: Issue:  2
Journal: CHINESE JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE

Keyword:  冠状动脉疾病胃肠出血他汀类输血;
Abstract: 目的:探讨急性冠脉综合征(ACS)合并上消化道出血患者在不能进行抗凝(溶栓)时的治疗方法及效果.方法:入选8例ACS合并出血患者,均予抑酸剂,他汀类强化调脂及硝酸酯类治疗,符合一定条件者给予β受体阻滞剂及输血治疗.于止血后,在胃粘膜保护情况下,加小剂量肠溶阿斯匹林,观察有无再发出血.结果:心绞痛患者症状明显缓解,总有效率85.71%,1例心梗患者死亡.余无心脏恶性事件发生.院外随访,无再发上消化道出血.结论:强化调脂、β受体阻滞剂及适当输血治疗对于急性冠脉综合征合并上消化道出血患者有重要意义.对有出血史冠心病患者,在胃粘膜保护下,可考虑应用小剂量肠溶阿斯匹林.
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