摘要
分水岭脑梗死主要发生在两个邻近动脉供血区的交叉地带。关于分水岭脑梗死发病机制的学说很多,目前公认血流动力学障碍和微栓子是分水岭脑梗死主要的发病机制。随着大动脉狭窄和闭塞患者的增多,分水岭脑梗死在临床上的发病率逐渐增高。目前临床上的主要治疗手段有药物治疗,血管内介入治疗,外科手术治疗。目前介入治疗和外科手术治疗仍处于探索阶段。由于缺乏治疗效果的大规模临床循证医学证据,目前分水岭脑梗死仍没有可以依据的治疗规范指南。
Cerebral watershed infarcts mainly occur at the junction of two artery territories. In many theories,hemodynamie impairment and microembolic etiology are recognized as the main pathogenesis of cerebral watershed infarction. With the increasing of patients with artery stenosis and occlusion, morbidity of cerebral watershed infarction gradually increased in clinic. Now, the main methods include drug treatment, interventional therapy, surgical operation treatment. At present, the interventional therapy and surgical operation treatment are stiU in the exploratory stage. Due to lacking of large-scale evidence-based medicine experiment, there are still no standard treatment guidelines.
出处
《中华脑科疾病与康复杂志（电子版）》
2015年第5期43-46,共4页
Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）
关键词
脑梗死
治疗
发病机制
Brain infarction
Therapy
Pathogenesis
