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急性缺血性脑卒中患者机械取栓后出血转化的影响因素

Impact factors of hemorrhage transformation in acute ischemic stroke patients after mechanical thrombectomy

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【作者】 邵癸文; 王峰;

【Author】 SHAO Guixven;WANG Feng;Department of Interventional Therapy,the First Affiliated Hospital of Dalian Medical University;

【通讯作者】 王峰;

【机构】 大连医科大学附属第一医院介入治疗科;

【摘要】 机械取栓是治疗急性缺血性脑卒中(AIS)极具前景的方法,已成为AIS脑血管闭塞患者的首选治疗方案,可通过缩小梗死区获得更好的临床结果,但仍有50%的患者出现不良结局,以出血转化(HT)最为常见,尤其是实质出血,与神经症状的恶化密切相关。本文就AIS患者经机械取栓治疗后发生HT的影响因素进行综述。

【Abstract】 Mechanical thrombectomy is a promising treatment for acute ischemic stroke(AIS), having become the preferred treatment for AIS patients with cerebral vascular occlusion to achieve better clinical outcomes through reducing the size of the final infarct area. However, adverse outcomes occurred still in about 50% AIS patients after mechanical thrombectomy, the most common one was hemorrhagic transformation(HT), especially parenchymal hemorrhage, which closely associated with the deterioration of neurological symptoms. The impact factors of HT in AIS patients after mechanical thrombectomy were reviewed in this paper.

【关键词】 脑卒中; 机械取栓; 出血;
【Key words】 stroke; mechanical thrombectomy; hemorrhage;
  • 【文献出处】 中国医学影像技术 ,Chinese Journal of Medical Imaging Technology , 编辑部邮箱 ,2022年05期
  • 【分类号】R743.3
  • 【被引频次】1
  • 【下载频次】225
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