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脑微出血及其与抗栓治疗相关性研究进展 被引量：3

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摘要 本文从脑微出血(cerebral microbleeds,CMBs)的流行病学、危险因素、病理机制以及诊断方法的研究进行综述,并对伴有CMBs的脑卒中(IS)患者的抗栓治疗的相关性研究进展进行介绍。目前对伴有CMBs的IS患者进行抗血小板治疗是否会增加脑出血(ICH)风险尚不确定,现有数据倾向于风险增加,但该风险弱于华法林治疗;尤其对于数量较多或(和)脑叶部位的CMBs,给予抗血小板治疗可能带来的ICH风险大于获益。对需溶栓治疗的伴有CMBs的急性IS患者,当CMBs数量>10个或(和)脑叶部位的CMBs时,应该慎用溶栓治疗。对需抗栓治疗的IS患者行头颅SWI检查,可明确CMBs存在的数目和部位,有利于拟定治疗方案。
作者 徐大飞 楚兰 李娅 杨勇
机构地区 贵州医科大学附属医院神经内科
出处 《中国神经免疫学和神经病学杂志》 CAS 2016年第5期364-367,共4页 Chinese Journal of Neuroimmunology and Neurology
关键词 脑微出血 抗栓治疗
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献28

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二级参考文献5

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共引文献7

同被引文献19

引证文献3

二级引证文献6

中国神经免疫学和神经病学杂志
2016年 第5期

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