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重型颅脑创伤患者病情危重,病情进展极快,后期并发症多,治疗颇为复杂,病死率高。对于颅脑损伤合并冠心病支架术后长期服用双抗药物的患者,围手术期密切监测血小板聚集试验以平衡预防出血与心脏事件之间的矛盾极为关键。现报告动态监测血小板功能应用于急诊颅脑手术合并心脏支架术后患者1例。
Severe traumatic brain injury patients in critical condition, the rapid progression of the disease, late complications, treatment is quite complicated, high mortality. In patients with traumatic brain injury and long-term dual-antidote after coronary stenting, it is crucial to monitor the platelet aggregation test closely during perioperative period in order to balance the prevention of bleeding with cardiac events. Now report the dynamic monitoring of platelet function used in emergency craniocerebral surgery patients with cardiac stent in 1 case.