国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
15期
2300-2303
,共4页
脑梗死%出血转化
腦梗死%齣血轉化
뇌경사%출혈전화
Cerebral infarction%Hemorrhagic transformation
目的 探讨脑梗死出血转化(hemorrhagic transformation,HT)的临床与影像改变的特点.方法 回顾性分析32例继发出血转化的脑梗死患者临床、影像资料.结果 ①卒中症状加重或出现新症状者15例(46.9%),继发HT后美国国立卫生研究院卒中量表(NIHSS)评分较起病时增加(P=0.017);HT发生距起病中位数为2天;②梗死部位:大脑半球29例(90.6%),病灶直径>3.0 cm 27例(84.4%);③出血部位:脑叶19例(59.4%),基底节区13例(40.6%);④CT/MRI发现片状出血23例(71.9%),脑组织肿胀17例(53.1%).结论 脑梗死出血转化最常见于大脑中动脉供血区脑梗死,其中约半数患者出现卒中症状加重或新症状,以片状出血最多见,CT/MRI是诊断HT的重要手段.
目的 探討腦梗死齣血轉化(hemorrhagic transformation,HT)的臨床與影像改變的特點.方法 迴顧性分析32例繼髮齣血轉化的腦梗死患者臨床、影像資料.結果 ①卒中癥狀加重或齣現新癥狀者15例(46.9%),繼髮HT後美國國立衛生研究院卒中量錶(NIHSS)評分較起病時增加(P=0.017);HT髮生距起病中位數為2天;②梗死部位:大腦半毬29例(90.6%),病竈直徑>3.0 cm 27例(84.4%);③齣血部位:腦葉19例(59.4%),基底節區13例(40.6%);④CT/MRI髮現片狀齣血23例(71.9%),腦組織腫脹17例(53.1%).結論 腦梗死齣血轉化最常見于大腦中動脈供血區腦梗死,其中約半數患者齣現卒中癥狀加重或新癥狀,以片狀齣血最多見,CT/MRI是診斷HT的重要手段.
목적 탐토뇌경사출혈전화(hemorrhagic transformation,HT)적림상여영상개변적특점.방법 회고성분석32례계발출혈전화적뇌경사환자림상、영상자료.결과 ①졸중증상가중혹출현신증상자15례(46.9%),계발HT후미국국립위생연구원졸중량표(NIHSS)평분교기병시증가(P=0.017);HT발생거기병중위수위2천;②경사부위:대뇌반구29례(90.6%),병조직경>3.0 cm 27례(84.4%);③출혈부위:뇌협19례(59.4%),기저절구13례(40.6%);④CT/MRI발현편상출혈23례(71.9%),뇌조직종창17례(53.1%).결론 뇌경사출혈전화최상견우대뇌중동맥공혈구뇌경사,기중약반수환자출현졸중증상가중혹신증상,이편상출혈최다견,CT/MRI시진단HT적중요수단.
Objective To investigate the clinical and radiological features of hemorrhagic transformation (HT) after cerebral infarction (CI).Method We retrospectively studied the medical records,the brain CT/MRI changes in 32 cases of cerebral infarction with HT.Results ① 15 cases (46.9%) suffered from progressive stroke symptoms or new central neurological symptoms,National Institutes of Health Stroke Scale (NIHSS) after HT was significantly higher than that at onset (P =0.017).The median from onset to HT was 2 days.② The lesions of infarction located in the cerebral hemisphere in 29 cases (90.6%),and the diameters of the lesions in 27 cases (84.4%) were greater than 3.0 cm.③ As the location of HT,the cerebral lobes were involved in 19 cases (59.4%),while basal ganglia involved in 13 cases (40.6%).④ CT/MRI demonstrated plaque-shape hemorrhage in 23 cases (71.9%),while focal brain edema were found in 17 cases (53.1%).Conclusion HT after CI happened primarily in the area of the middle cerebral artery,half of the patients suffered from progressive stroke symptoms or new symptoms,CT/MRI played an important role in the diagnosis of HT.