缺血性脑卒中抗凝治疗课件

缺血性脑卒中的抗凝治疗武剑首都医科大学宣武医院神经内科北京市脑血管病中心缺血性脑卒中的抗凝治疗1如何处理急性脑卒中和TA病人?thinku'I/findfthemostempatheticdocforsSTOParound如何处理急性脑卒中和TA病人?2抗凝治疗■抗凝治疗■对房颤脑栓塞一级和二级预防作用抗凝治疗3血栓的形成凝血酶是血管损伤、凝血激活和血小板激活的纽带血小板胶原TXA凝血酶lla→纤维蛋白原→纤维蛋→覆→凝血酶跟THROMBUSThrombinisacriticalmediatorincoagulationElicitsmultipleresponsesinplatelets血栓的形成4MajoractionsofantithromboticagentsCoagulationcascadePlateletsCollageTissuefactorateietaggregationFibrinSelwynAP.AmJCardoL.2019.InpressMajoractionsofantithromboti5缺血性脑卒中抗凝治疗课件6缺血性脑卒中抗凝治疗课件7缺血性脑卒中抗凝治疗课件8缺血性脑卒中抗凝治疗课件9缺血性脑卒中抗凝治疗课件10缺血性脑卒中抗凝治疗课件11缺血性脑卒中抗凝治疗课件12缺血性脑卒中抗凝治疗课件13缺血性脑卒中抗凝治疗课件14缺血性脑卒中抗凝治疗课件15缺血性脑卒中抗凝治疗课件16缺血性脑卒中抗凝治疗课件17缺血性脑卒中抗凝治疗课件18缺血性脑卒中抗凝治疗课件19缺血性脑卒中抗凝治疗课件20缺血性脑卒中抗凝治疗课件21缺血性脑卒中抗凝治疗课件22缺血性脑卒中抗凝治疗课件23缺血性脑卒中抗凝治疗课件24缺血性脑卒中抗凝治疗课件25缺血性脑卒中抗凝治疗课件26缺血性脑卒中抗凝治疗课件27缺血性脑卒中抗凝治疗课件28缺血性脑卒中抗凝治疗课件29缺血性脑卒中抗凝治疗课件30缺血性脑卒中抗凝治疗课件31缺血性脑卒中抗凝治疗课件32缺血性脑卒中抗凝治疗课件33缺血性脑卒中抗凝治疗课件34缺血性脑卒中抗凝治疗课件35缺血性脑卒中抗凝治疗课件36缺血性脑卒中抗凝治疗课件37缺血性脑卒中抗凝治疗课件38缺血性脑卒中抗凝治疗课件39缺血性脑卒中的抗凝治疗武剑首都医科大学宣武医院神经内科北京市脑血管病中心缺血性脑卒中的抗凝治疗40如何处理急性脑卒中和TA病人?thinku'I/findfthemostempatheticdocforsSTOParound如何处理急性脑卒中和TA病人?41抗凝治疗■抗凝治疗■对房颤脑栓塞一级和二级预防作用抗凝治疗42血栓的形成凝血酶是血管损伤、凝血激活和血小板激活的纽带血小板胶原TXA凝血酶lla→纤维蛋白原→纤维蛋→覆→凝血酶跟THROMBUSThrombinisacriticalmediatorincoagulationElicitsmultipleresponsesinplatelets血栓的形成43MajoractionsofantithromboticagentsCoagulationcascadePlateletsCollageTissuefactorateietaggregationFibrinSelwynAP.AmJCardoL.2019.InpressMajoractionsofantithromboti44缺血性脑卒中抗凝治疗课件45缺血性脑卒中抗凝治疗课件46缺血性脑卒中抗凝治疗课件47缺血性脑卒中抗凝治疗课件48缺血性脑卒中抗凝治疗课件49缺血性脑卒中抗凝治疗课件50缺血性脑卒中抗凝治疗课件51缺血性脑卒中抗凝治疗课件52缺血性脑卒中抗凝治疗课件53缺血性脑卒中抗凝治疗课件54缺血性脑卒中抗凝治疗课件55缺血性脑卒中抗凝治疗课件56缺血性脑卒中抗凝治疗课件57缺血性脑卒中抗凝治疗课件58缺血性脑卒中抗凝治疗课件59缺血性脑卒中抗凝治疗课件60缺血性脑卒中抗凝治疗课件61缺血性脑卒中抗凝治疗课件62缺血性脑卒中抗凝治疗课件63缺血性脑卒中抗凝治疗课件64缺血性脑卒中抗凝治疗课件65缺血性脑卒中抗凝治疗课件66缺血性脑卒中抗凝治疗课件67缺血性脑卒中抗凝治疗课件68缺血性脑卒中抗凝治疗课件69缺血性脑卒中抗凝治疗课件70缺血性脑卒中抗凝治疗课件71缺血性脑