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脑出血(intracerebral hemorrhage,ICH)是高致残、高致死的脑卒中类型,血肿扩大是ICH重要的并发症。早期血肿扩大常造成患者病情恶化,是脑出血预后不良的重要危险因素。近年来血肿扩大已成为治疗ICH研究的新热点,但目前尚无有效治疗早期血肿扩大,明显改善患者预后的手段。随着ICH早期血肿扩大的研究在发病机制等方面不断的深入,早期血肿扩大将成为治疗ICH的新靶点,为脑出血的防治带来更多更有效的治疗策略。本文就ICH早期血肿扩大的定义、发生机制、危险因素、治疗等方面进行如下综述。
Intracerebral hemorrhage (ICH) is a type of stroke that is highly lethal and highly lethal. Hematoma enlargement is an important complication of ICH. Early expansion of the hematoma often leads to deterioration of the patient’s condition, is an important risk factor for poor prognosis of cerebral hemorrhage. In recent years, the expansion of hematoma has become a new focus of ICH research, but there is no effective treatment of early hematoma expansion, significantly improve the prognosis of patients. With the early expansion of ICH hematoma in the pathogenesis of research continues to deepen, early expansion of hematoma will become a new target for the treatment of ICH, for the prevention and treatment of cerebral hemorrhage to bring more effective treatment strategies. This review summarizes the definition, mechanism, risk factors and treatment of early hematoma expansion in ICH.