Video: Puas yog hnub nyoog yog contraindication rau tPA?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov tshuaj Activase ( alteplase , rtPA) cov npe tshuaj yeeb tshuaj “nce qib hnub nyoog (piv txwv li, laus dua 75 xyoos)” raws li kev ceeb toom tias qhov kev pheej hmoo ntawm IV rtPA tuaj yeem nce ntxiv. Advanced hnub nyoog tsis suav tias yog ib contraindication los yog kev cais tawm hauv AHA cov lus qhia.
Hauv qhov no, lub hnub nyoog txwv rau tPA yog dab tsi?
Ib qho kev txwv tsis pub muaj rau IVT hauv qab 3 teev txij thaum pib yog hnub nyoog tshaj 803, txawm hais tias NINDS t-PA mus sib hais tsis suav nrog hnub nyoog txwv rau suav nrog thiab tsis muaj hnub nyoog kev txiav tawm tau hais hauv American Heart Association cov lus qhia rau cov neeg mob kho nyob rau hauv 3 teev txij li pib1.
Tsis tas li ntawd, leej twg tsim nyog tau txais tPA? Hnub nyoog tshaj 80 xyoo. Kev siv ntawm qhov ncauj anticoagulants. Baseline NIH Stroke Scale qhab nia siab dua 25. Keeb kwm ntawm ob leeg mob stroke thiab ntshav qab zib.
Tib neeg kuj nug, dab tsi yog contraindications rau tPA?
Cov tsos mob tshwm sim tsis paub,> 4.5 teev, lossis yog tias tus neeg mob tau mob stroke.
Vim li cas tPA contraindicated tom qab 3 teev?
Feem ntau ntawm lawv tsis tsim nyog vim lawv tuaj rau hauv tsev kho mob tom qab cov peb - teev lub sij hawm qhov rais. Lub sij hawm ntawm kev kho mob yog ib qho tseem ceeb, vim hais tias muab cov ntshav muaj zog thinner zoo li tPA thaum lub sijhawm mob hlab ntsha tawg tuaj yeem ua ntshav hauv lub hlwb.
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