摘要
自发性脑出血(sICH)约占脑卒中患者的10%～15%。影响sICH预后的关键因素是初始血肿体积和血肿是否发生扩大。目前研究表明,sICH是脑小血管破裂后导致的一种常见且预后不良的疾病。超过30%的患者在首次发病后呈持续性出血,预示着疾病是一个动态过程。这种持续性出血也被称为血肿扩大(HE),是神经功能恶化和预后不良的独立预测因素。文章主要对CT影像特征以及CTA上特异性影像表现在预测sICH患者HE中的研究进展进行综述。
Spontaneous intracerebral hemorrhage(sICH)accounts for approximately 10% to 15% of stroke patients. The key factor affecting the prognosis of sICH is whether the initial hematoma volume and hematoma enlarge. Current research indicates that sICH is a common disease caused by rupture of small blood vessels with poor prognosis. More than 30% of patients have persistent bleeding after the first onset,indicating that the disease is a dynamic process. This persistent bleeding,also known as hematoma expansion( HE),is an independent predictor of neurological deterioration and poor prognosis. This article reviews the research progress of CT image features and specific imaging findings on CTA in predicting HE in patients with sICH.
作者
黄永苇
杨明飞
HUANG Yong-wei( reviewing);YANG Ming-fei( checking)(Department of Neurosurgery,Qinghai Provincial People’s Hospital,Xining 810007,Qinghai,China)
出处
《医学研究生学报》
CAS
北大核心
2019年第3期320-325,共6页
Journal of Medical Postgraduates
基金
青海省卫生计生科研课题(2016-wjzdx-13)
关键词
CT
影像特征
自发性脑出血
血肿扩大
CT
imaging markers
spontaneous intracerebral hemorrhage
hematoma expansion
