Patients with spontaneous intracerebral hemorrhage (sICH) are at high risk for venous thromboembolism (VTE). The administration of mechanical and pharmacological VTE prophylaxis after sICH is important but challenging. The safety and efficacy of the optimal anticoagulant dose, timing, and type of VTE chemoprophylaxis in cases of sICH are still unclear, and clinicians are concerned that it may lead to cerebral hematoma expansion, which is associated with poor prognosis. Through this literature review, we aim to summarize the latest guidelines, recommendations, and clinical research progress to support evidence-based treatment strategies.

中文翻译：

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自发性脑出血后静脉血栓栓塞的预防：综述。

自发性脑出血（sICH）患者发生静脉血栓栓塞（VTE）的风险很高。sICH 后进行机械和药物 VTE 预防很重要，但也具有挑战性。sICH 病例中最佳抗凝剂量、时机和 VTE 化学预防类型的安全性和有效性仍不清楚，临床医生担心这可能导致脑血肿扩大，从而与不良预后相关。通过这篇文献综述，我们旨在总结最新的指南、建议和临床研究进展，以支持循证治疗策略。