老年人自发性脑出血的药理学治疗

Sandler Melissa, B. Gretchen, Almohaish Sulaiman
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引用次数: 0

摘要

65岁以上成年患者脑出血的药理学治疗需要特别考虑,因为不同的临床表现、潜在的器官功能障碍以及更复杂的病史和药物情况。对关注脑出血年龄特异性药物治疗的文章进行了文献综述。评估了针对老年人的治疗方法和临床结果,并总结了该人群的治疗注意事项。老年人通常被纳入有关抗凝剂和抗血小板药物逆转的试验,这些结果可推广到老年人。在老年人脑出血的整个治疗过程中,应经常考虑潜在的器官功能障碍。老年人脑出血的治疗应与年轻人类似;然而,考虑与年龄相关的合并症和生理差异对于优化患者护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacological Management of Spontaneous Intracerebral Hemorrhage in Older Adults
Pharmacological management of intracerebral hemorrhage in adult patients over 65 years of age requires special considerations due to differing clinical presentations, underlying organ dysfunction, and more complex medical histories and medication profiles. A literature review of articles focusing on the age-specific pharmacological management of intracerebral hemorrhage was conducted. Treatment approaches and clinical outcomes specific to older adults were evaluated and therapeutic considerations for this population are summarized. Older adults were commonly included in trials regarding reversal of anticoagulants and antiplatelet agents and these results are generalizable to older adults. Underlying organ dysfunction should frequently be considered throughout the treatment of intracerebral hemorrhage in older adults. Older adults with intracerebral hemorrhage should be managed similarly to younger adult patients; however, consideration of age-related comorbidities and physiological differences is critically important for optimizing patient care.
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