頁籤選單縮合
題 名 | 椎頸動脈剝離引起之中風處置=The Management of Stroke Related to Cervicocerebral Artery Dissection |
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作 者 | 花逸茗; 蘇慧真; | 書刊名 | 藥學雜誌 |
卷 期 | 34:3=136 2018.09[民107.09] |
頁 次 | 頁31-41 |
分類號 | 415.922 |
關鍵詞 | 頸椎動脈剝離; 抗血小板藥; 抗凝血劑; Cervicocerebral artery dissection; Antiplatelet; Anticoagulant; |
語 文 | 中文(Chinese) |
中文摘要 | 頸椎動脈剝離是造成年輕型缺血性中風的常見原因,根據發生位置可分成顱內動脈 剝離與顱外動脈剝離,顱外動脈剝離可再分成內頸動脈剝離與椎動脈剝離,顱外動脈 剝離發生率為每年每10萬人中約3件,佔年輕性缺血性中風25%,常見症狀包含單側頭 痛、頭頸部痠痛,一旦發生頸椎動脈剝離併發之腦中風,急性處理以血栓溶解劑為主, 中風後兩周內是缺血性中風的高危險期,此時治療目標應以預防中風為原則,抗血栓藥 物包含抗血小板藥物與抗凝血劑,兩者對於預防中風發生的效果並無顯著差異,出血事 件以抗凝血劑較高,故選擇藥物時須考量病況、共病症、多重用藥等因素。 |
英文摘要 | Cervicocerebral Artery Dissection (CAD) is the major cause of ischemic stroke in young population. CAD can be divided into Intracranial Artery Dissections (IAD) and (Extracranial or Cervical Artery Dissections, CeAD). Furthermore, CeAD can be separated into Internal Carotid Artery Dissections (ICAD) and Vertebral Artery Dissections (VAD). The estimated CeAD incidence is 3/100,000 population/year in the general population. The proportion of ischemic strokes occuring in young adults is 25%. The clinical symptoms are pain developed on one side of the neck, local tenderness, and headache. In the acute stage of stroke related to CeAD, the thrombolytic therapy may be suggested if there is no contraindication. The risk of recurrent stroke is high within two weeks after acute phase. Therefore, the goal of long term care is stroke prevention. For the endpoints of recurrent stroke, antiplatelet and anticoagulant are not significantly different while anticoagulant group have a higher risk of bleeding. Physician should take underlying disease, comorbidity, or polypharmacy into consideration when choosing antithrombotic agent. |
本系統中英文摘要資訊取自各篇刊載內容。