脑梗死后出血转化的危险因素研究进展

么 琳1, 李永 秋2, 高海 凤2
1.华北理工大学 2.唐山市工人医院

摘要

摘要：脑梗死后出血转化（HemorrhagictransformationHT）是指急性脑梗死后缺血区血管重新恢复血流灌注导致的出血。分为自然发生的出血和干预措施后的出血。目前普遍采用的定义为：脑梗死后首次CT或磁共振检查未发现出血，而再次头CT或磁共振检查时发现有颅内出血，或根据首次头颅CT或磁共振检查可以确定的出血性梗死。HT是脑梗死的严重并发症之一，然而，一部分出现出血转化的患者无明显症状，如不及时发现并调整治疗方案，将导致出血量增大，为患者及社会带来沉重的负担。本文对脑梗死后发生HT的影响因素进行综述。

关键词

关键词：急性脑梗死；出血转化；危险因素；预后

参考

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