摘要
目的:探讨急性脑梗死出血性转化的病因、临床特点、影像学表现、治疗及预后。方法:回顾分析自2008年9月～2011年2月收治的急性脑梗死患者共656例,其中有出血性转化的共32例(男18例,女14例),从病因、临床特点、MR和CT影像学征象及综合性治疗等进行回顾性总结。结果:32例出血性转化患者中大面积脑梗死占多数,尤其是房颤引起的脑栓塞。经调整治疗,多数预后良好,只有脑实质内血肿面积较大患者预后较差。结论:大面积脑梗死及脑栓塞患者易继发出血性转化,对可疑患者应常规复查头颅CT/MRI及时调整治疗方案。
Objective： To investigate the etiology,clinical features,imaging characteristics,management and prognosis of hemorrhagic transformation（HT） in acute ischemic stroke patients.Methods： Retrospective analysis was performed in 656 acute ischemic stroke patients admitted in our hospital between Sep.2008 and Feb.2011.Of the total patients,32（male,18;female,14） occurred hemorrhagic transformation and were reviewed regarding the etiology of HT,clinical performance,MR and CT imaging findings as well as comprehensive treatment.Results： Risk factors of HT included extensive cerebral infarction,particularly cerebral embolism caused by atrial fibrillation.Most cases had a good outcome,though,those complicated with broad spectrum of parenchymal cerebral hematoma remained poor prognosis,after therapeutic protocols being properly adjusted.Conclusion： Suspected patients should undergo repeat routine CT/MRI examination and timely adjustment of the therapy plan,since HT is associated with early signs of large area cerebral infarction and embolism.
出处
《皖南医学院学报》
CAS
2012年第1期37-39,共3页
Journal of Wannan Medical College
关键词
脑梗死
出血性转化
预后
危险因素
cerebral infarction； hemorrhagic transformation； prognosis； risk factor
