急性缺血性脑卒中为我国居民常见疾病之一,其中以急性大血管闭塞性缺血性脑卒中(acute ischemic stroke with large vessel occlusion,AIS-LVO)的并发症最为严重,死亡风险极高。研究表明,恢复血流灌注是有效挽救缺血脑组织的一线治疗方...急性缺血性脑卒中为我国居民常见疾病之一,其中以急性大血管闭塞性缺血性脑卒中(acute ischemic stroke with large vessel occlusion,AIS-LVO)的并发症最为严重,死亡风险极高。研究表明,恢复血流灌注是有效挽救缺血脑组织的一线治疗方法,一般以机械取栓为主,静脉溶栓为辅。尽管如此,但大血管闭塞并机械取栓后仍然存在着并发症,如穿刺点出血及感染、血管痉挛、血管夹层、蛛网膜下腔出血、脑实质出血转化、再栓塞、大面积脑梗死等。本文通过回顾相关并发症的研究分析,阐述取栓术后出现并发症的高危因素及相对应的措施。展开更多
Acute ischemic stroke is one of the common discases in Chinese,among which acute ischemic stroke with large vessel occlusion(AIS-LVO)has thc most serious complications and has the risk of death.Studies have shown that...Acute ischemic stroke is one of the common discases in Chinese,among which acute ischemic stroke with large vessel occlusion(AIS-LVO)has thc most serious complications and has the risk of death.Studies have shown that reperfusion is a first-line treatment for the effective rescue of ischemic brain tissue,usually mainly by mechanical|hrombectomy(MT),supplemented by intravenous thrombolysis.However,there are still complications after large blood vessel occlusion and MT.such as blecding and infection at the puncture point,vasospasm,vascular dissection,subarachnoid hemorrhage,hcmonhagic transfomation,reembolization,and massive cerebral infarction,ctc.The high risk factors and corresponding measures of complications after MT by revicwing the rescarch analysis.展开更多
文摘急性缺血性脑卒中为我国居民常见疾病之一,其中以急性大血管闭塞性缺血性脑卒中(acute ischemic stroke with large vessel occlusion,AIS-LVO)的并发症最为严重,死亡风险极高。研究表明,恢复血流灌注是有效挽救缺血脑组织的一线治疗方法,一般以机械取栓为主,静脉溶栓为辅。尽管如此,但大血管闭塞并机械取栓后仍然存在着并发症,如穿刺点出血及感染、血管痉挛、血管夹层、蛛网膜下腔出血、脑实质出血转化、再栓塞、大面积脑梗死等。本文通过回顾相关并发症的研究分析,阐述取栓术后出现并发症的高危因素及相对应的措施。
基金High Level Talent Program of Hainan Natural Science Foundation(No.821RC680)。
文摘Acute ischemic stroke is one of the common discases in Chinese,among which acute ischemic stroke with large vessel occlusion(AIS-LVO)has thc most serious complications and has the risk of death.Studies have shown that reperfusion is a first-line treatment for the effective rescue of ischemic brain tissue,usually mainly by mechanical|hrombectomy(MT),supplemented by intravenous thrombolysis.However,there are still complications after large blood vessel occlusion and MT.such as blecding and infection at the puncture point,vasospasm,vascular dissection,subarachnoid hemorrhage,hcmonhagic transfomation,reembolization,and massive cerebral infarction,ctc.The high risk factors and corresponding measures of complications after MT by revicwing the rescarch analysis.
