论文部分内容阅读
目的探讨脑梗死后出血性转化的临床特点、病因及诊断治疗。方法回顾分析本院120例脑梗死后出血性转化患者的临床资料。结果出血性转化多发生于起病3 d到2周,与大面积梗死、合并冠心病、心房纤颤、糖尿病、高血压等有关。本组120例患者均经头颅CT或MRI证实。经治疗后107例预后良好,9例预后较差,4例因同时并发心衰、肾衰等死亡。结论脑梗死后发生出血性转化并非都会使病情加重,早期无症状性出血性转化为脑梗死血管再通的一种表现,优于阻塞动脉血管未通者,远期预后良好。症状性出血性转化患者预后较差。
Objective To investigate the clinical characteristics, etiology, diagnosis and treatment of hemorrhagic transformation after cerebral infarction. Methods The clinical data of 120 patients with hemorrhagic transformation after cerebral infarction in our hospital were retrospectively analyzed. The results of hemorrhagic transformation occurred in the onset of 3 d to 2 weeks, with large infarcts, coronary heart disease, atrial fibrillation, diabetes, hypertension and so on. 120 patients in this group were confirmed by skull CT or MRI. After treatment 107 cases of good prognosis, 9 cases of poor prognosis, 4 cases of concurrent heart failure, renal failure and death. Conclusions Hemorrhagic transformation after cerebral infarction may not aggravate the hemorrhagic transformation. The early asymptomatic hemorrhagic transformation into recanalization of cerebral infarction is better than the occlusion of unresectable arterial vessels, and the long-term prognosis is good. Symptomatic hemorrhagic transformation in patients with poor prognosis.