重视脑梗死的出血性转化

被引:28
作者
盛文利
黄如训
机构
[1] 中山大学附属第一医院脑血管专科
关键词
出血性转化; 症状性; 脑栓塞; 临床病理; 动脉性; 脑病; 脑梗死; 梗死灶;
D O I
暂无
中图分类号
R743.33 [脑栓塞];
学科分类号
摘要
<正>出血性转化(hemorrhagic transformation,HT)是颇令临床医生担心的脑梗死的合并症。据文献报道,出血性转化的发生率尸解资料为29%;系统回顾性荟萃资料显示脑梗死后任何类型的出血性转化发生率在0~85%之间;理论上来说,出血性转化可发生于任何脑梗死患者,可见于脑梗死自然演变病程
引用
收藏
页码:126 / 128
页数:3
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  • [1] Thrombolysis With 0.6 mg/kg Intravenous Alteplase for Acute Ischemic Stroke in Routine Clinical Practice: The Japan post-Marketing Alteplase Registration Study (J-MARS)[J] . Jyoji Nakagawara,Kazuo Minematsu,Yasushi Okada,Norio Tanahashi,Shinji Nagahiro,Etsuro Mori,Yukito Shinohara,Takenori Yamaguchi.Stroke . 2010 (9)
  • [2] Implementation and outcome of thrombolysis with alteplase 3–4·5 h after an acute stroke: an updated analysis from SITS-ISTR[J] . Niaz Ahmed,Nils Wahlgren,Martin Grond,Michael Hennerici,Kennedy R Lees,Robert Mikulik,Mark Parsons,Risto O Roine,Danilo Toni,Peter Ringleb.Lancet Neurology . 2010 (9)
  • [3] Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials[J] . Kennedy R Lees,Erich Bluhmki,Rüdiger von Kummer,Thomas G Brott,Danilo Toni,James C Grotta,Gregory W Albers,Markku Kaste,John R Marler,Scott A Hamilton,Barbara C Tilley,Stephen M Davis,Geoffrey A Donnan,Werner Hacke.The Lancet . 2010 (9727)
  • [4] Antiplatelet Therapy for Secondary Prevention of Noncardioembolic Ischemic Stroke: A Critical Review[J] . Martin J. O’Donnell,Graeme J. Hankey,John W. Eikelboom.Stroke . 2008 (5)
  • [5] Frequency and risk factors for spontaneous hemorrhagic transformation of cerebral infarction[J] . Richard I. Lindley,Joanna M. Wardlaw,Peter A.G. Sandercock,Prapan Rimdusid,Stephanie C. Lewis,David F. Signorini,Stefano Ricci.Journal of Stroke and Cerebrovascular Diseases . 2004 (6)
  • [6] Asymptomatic microbleeds as a risk factor for aspirin-associated intracerebral hemorrhages
    Wong, KS
    Chan, YL
    Liu, JY
    Gao, S
    Lam, WWM
    [J]. NEUROLOGY, 2003, 60 (03) : 511 - 513
  • [7] Cerebral Hemorrhagic Infarction at Autopsy: Cardiac Embolic Cause and the Relationship to the Cause of Death[J] . J. LODDER,B. KRUNE-KUBAT,J. BROEKMAN.Stroke . 1986 (4)
  • [8] High-dose atorvastatin after stroke or transient ischemic attack .2 The Stroke Prevention by Aggressive Reduction in Cholesterol Levels(SPARCL)Investigators. N Engl J Med . 2006