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急性脑梗死患者影像学缺血半暗带的临床评价策略
引用本文:张苗,卢洁. 急性脑梗死患者影像学缺血半暗带的临床评价策略[J]. 中国脑血管病杂志, 2021, 0(4): 217-222
作者姓名:张苗  卢洁
作者单位:首都医科大学宣武医院放射与核医学科磁共振成像脑信息学北京市重点实验室
基金项目:北京市医院管理局“登峰”人才培养计划(DFL20180802)。
摘    要:
缺血性卒中再灌注治疗近年来取得了重大进展,治疗前快速精准评估缺血半暗带是临床诊治的紧迫需求.目前,影像学是显示缺血半暗带最直观、有效的方法,该方法通过利用组织窗筛选出能够从再灌注治疗中获益的患者,并预估风险和预后.作者介绍了急性脑梗死影像学缺血半暗带的临床评估模式,并对不同发病时间、拟进行再灌注治疗患者的缺血半暗带评价...

关 键 词:脑梗死  缺血半暗带  影像学

Clinical evaluation of ischemic penumbra in acute cerebral infarction
Zhang Miao,Lu Jie. Clinical evaluation of ischemic penumbra in acute cerebral infarction[J]. Chinese Journal of Cerebrovascular Diseases, 2021, 0(4): 217-222
Authors:Zhang Miao  Lu Jie
Affiliation:(Department of Radiology and Nuclear Medicine,Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
Abstract:
Reperfusion therapy for acute ischemic stroke has made great progress in recent years.Rapid and accurate assessment of ischemic penumbra is an urgent demand for clinical diagnosis and treatment.Currently,imaging is the most intuitive and effective method to show ischemic penumbra,which uses tissue window to choose patients who can benefit from reperfusion therapy and estimate the risk and prognosis.The authors introduced the clinical evaluation methods of ischemic penumbra in acute cerebral infarction.The strategy of evaluating ischemic penumbra in patients with different time windows and to be treated with reperfusion therapy was recommended in stratified priority.
Keywords:Brain infarction  Ischemic penumbra  Imaging
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