摘要
目的探讨脑梗死后出血性转化的临床特点。方法回顾性分析我院24例脑梗死后出血性转化患者的临床资料。结果大脑中动脉供血区病变16例(占67%),大脑前动脉供血区病变6例(占25%),大脑后动脉供血区病变2例(占8%)。大面积脑梗死22例,占92%;出血性转化发生<48h者11例,48h～7d者7例,7～14d者3例,>14d者3例。24例患者中10例基本治愈,5例好转,3例呈植物生存状态,6例死亡。结论脑梗死后出血性转化是影响患者生存的严重并发症,其危险因素有大面积脑梗死、心房纤颤,患者早期死亡原因主要为脑疝,及时诊治可改善预后。
Objective To discuss the clinical characteristics of hemorrhagic transformation after cerebral infarction. Methods Retrospective analysis the data of 24 eases of hemorrhagic transformation after cerebral infarction. Results Middle cerebral artery lesions in 16 eases （67%）, anterior cerebral artery lesion in 6 eases （25%）, posterior cerebral artery lesions in 2 patients （8%） . 22 eases of large area cerebral infarction, aeeounted for 92% ; I-IT 〈48h 11 eases, 48h to 7d in 7 eases, 7 to 14d in 3 eases, 〉14d in 3 eases. There are 10 eases were nearly cured, 5 eases were improved, 3 eases were in persistent vegetative state and 6 eases were dead in the 24 cases. Conclusion Hemorrhagic transformation after cerebral infarction is af- fecting the survival of patients with severe complications, their risk factors have a large area cerebral infarction, atrial fibrilla- tion, major causes of early death in patients with cerebral hernia, timely diagnosis and treatment may improve the prognosis.
出处
《实用心脑肺血管病杂志》
2012年第12期1926-1927,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
出血性转化
脑梗死
治疗结果
Hemorrhagic transformation
Brain infarction
Treatment outcome
