CAJ | 학술논문

本文通过对本院2013-05-30收治的1例合并脑出血的全身多发动静脉栓塞的抗磷脂综合征（APS）患者进行回顾性分析，探讨 APS 的诊疗，以加强临床医生对本病的认识。提示：对不明原因血管内血栓形成的患者，应行风湿免疫学检测；恶性抗磷脂综合征（CAPS）因其预后极差，一旦怀疑应积极治疗；伴有出血风险的 APS 患者，需根据医生个人经验，结合临床实际，充分做好出血风险评估，权衡利弊，谨慎处理。
본문통과대본원2013-05-30수치적1례합병뇌출혈적전신다발동정맥전새적항린지종합정（APS）환자진행회고성분석，탐토 APS 적진료，이가강림상의생대본병적인식。제시：대불명원인혈관내혈전형성적환자，응행풍습면역학검측；악성항린지종합정（CAPS）인기예후겁차，일단부의응적겁치료；반유출혈풍험적 APS 환자，수근거의생개인경험，결합림상실제，충분주호출혈풍험평고，권형리폐，근신처리。
One antiphospholipid syndrome(APS)patient combined with general multiple arterial and venous embol-ism and cerebral hemorrhage was admitted to our hospital on 30 May 2013,the clinical data of this case was analyzed retrospec-tively in this article,and the diagnosis and treatment of APS were discussed,so as to improve the understanding of clinical doc-tors for APS. Note:rheumatism immunology test should be carried out among the patients with unexplained thrombosis in blood vessels. Because the prognosis of catastrophic antiphospholipid syndrome(CAPS)is poor,once CAPS is suspected,active ther-apy strategies should be taken. According to experiences of doctors and clinical practice,APS patients with the risk of bleeding should receive risk assessment,doctors should weight the advantages and disadvantages,and treat carefully.