培训课件-自发性脑出血血肿扩大的预测.pptVIP

AHA/ASA ICH指南2010-降压推荐 抗凝剂引起的ICH 更易导致血肿扩大及死亡 必须尽快纠正凝血异常！ Huttner HB, et al. Stroke. 2006;37:1465-1470.  AHA/ASA ICH指南2010-抗凝剂ICH治疗推荐 Patients with ICH whose INR is elevated due to OAC’s should have their warfarin withheld, receive therapy to replace vitamin K-dependent factors and correct the INR, and receive intravenous vitamin K （停用华法林及iv维生素K） Class I, Level of Evidence C PCCs（凝血酶原复合物）have not shown improved outcome compared with FFP（新鲜冰冻血浆） but may have fewer complications compared with FFP and are reasonable to consider as an alternative to FFP Class IIa, Level of Evidence B 甘露醇与血肿扩大 甘