非栓塞性脑梗死的出血性转化(附19例分析) |
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引用本文: | 徐俊,苏立静,徐华燕,张运.非栓塞性脑梗死的出血性转化(附19例分析)[J].中风与神经疾病杂志,2009,26(3). |
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作者姓名: | 徐俊 苏立静 徐华燕 张运 |
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作者单位: | 鄞州第二医院神经内科,浙江,宁波,315100 |
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摘 要: | 目的 探讨非栓塞性脑梗死患者发生出血性转化(hemorrhagic transformation,HT)的病因、临床特点及治疗.方法 回顾性分析19例非栓塞性脑梗死患者的临床资料.结果 患者平均年龄为76.4岁,大面积脑梗死(95%)是主要病因,高血压(74%)、糖尿病(53%)亦有较高的发生率.结论 非栓塞性脑梗死的HT常发生在高龄及大面积脑梗死,高血压、糖尿病亦是重要的病因,多为晚发型出血,预后相对较好.Abstract:Objective To investigate the etiological factors, clinical characteristics and cures of patients with nonembolic cerebral infarction after cerebral infarction. Methods The clinical data of 19 patients with non-embolic cerebral infarction were analyzed retrospectively. Results The average age of patients was 76.4 and the major risk factor was massive cerebral infarction (95%). While hypertension (74%) and diabetes mellitus (53%) were also the risk factors of nonembolic cerebral infarction. Conclusions Hemorrhagic transformation after non-embolic cerebral infarction usually occurs in patients with old age and massive cerebral infarction. Hypertension and diabetes mellitus are also the major risk factors for hemorrhagic transformation after non-embolic cerebral infarction, mainly with delayed onset and better outcomes.
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关 键 词: | 非栓塞性脑梗死 出血性转化 |
Hemorrhagic transformation after non-embolic cerebral infarction (with Clinical Analysis of 19 Cases) |
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Abstract: | Objective To investigate the etiological factors, clinical characteristics and cures of patients with nonembolic cerebral infarction after cerebral infarction. Methods The clinical data of 19 patients with non-embolic cerebral infarction were analyzed retrospectively. Results The average age of patients was 76.4 and the major risk factor was massive cerebral infarction (95%). While hypertension (74%) and diabetes mellitus (53%) were also the risk factors of nonembolic cerebral infarction. Conclusions Hemorrhagic transformation after non-embolic cerebral infarction usually occurs in patients with old age and massive cerebral infarction. Hypertension and diabetes mellitus are also the major risk factors for hemorrhagic transformation after non-embolic cerebral infarction, mainly with delayed onset and better outcomes. |
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Keywords: | Non-embolic cerebral infarction Hemorrhagic transformation |
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