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CTA点征在脑出血中的临床应用
引用本文:谭郎敏,陈阳美.CTA点征在脑出血中的临床应用[J].中华脑血管病杂志(电子版),2013(3):19-22.
作者姓名:谭郎敏  陈阳美
作者单位:[1]重庆医科大学在读应届专业型硕士研究生,400010 [2]重庆医科大学附属第二医院神经内科,400010
摘    要:脑出血(ICH)的发病率占脑卒中的10%~30%,ICH较缺血性卒中预后更差,致残程度重,死亡率极高,其早期血肿扩大是神经功能恶化及预后不良的重要危险因素。随着影像学的不断发展,大量研究表明cT血管造影(CTA)点征能有效预测ICH早期血肿扩大、评估临床预后。本文旨在探讨CTA点征的相关定义、原理及在脑出血中的临床应用。

关 键 词:脑出血  CT血管造影  点征

Clinical applications of the computed tomography angiography spot sign in intracerebral hemorrhage
TAN Lang-min,CHEN yang-mei.Clinical applications of the computed tomography angiography spot sign in intracerebral hemorrhage[J].Chinese Journal of Cerebrovascular Diseases(Electronic Version),2013(3):19-22.
Authors:TAN Lang-min  CHEN yang-mei
Institution:1Medical College of Chongqing University, Chongqing 400010, China; 2Department of Neurology, Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Abstract:Intracerebral hemorrhage (ICH) accounts for 10% to 30% of cases of acute stroke, and has a worse prognosis than ischemic stroke, with high mortality and poor outcome among survivors. Hematoma expansion has been shown to be an important risk factor of increased mortality and poor outcome in ICH. Computed tomogram angiography (CTA) 'spot sign' is an independent predictor of hematoma expansion and has been associated with mortality in patients with ICH. This paper aims to explore the definition and imaging acquisition and clinical applications of the CTA spot sign in intracerebral hemorrhage.
Keywords:Cerebral hemorrhage  Computed tomography angiography  Spot sign
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