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出血性卒中:脑出血。

Hemorrhagic stroke: intracerebral hemorrhage.

作者信息

Rymer Marilyn M

机构信息

University of Missouri-Kansas City School of Medicine, USA.

出版信息

Mo Med. 2011 Jan-Feb;108(1):50-4.

PMID:21462612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6188453/
Abstract

Intracerebral hemorrhage (ICH) is a devastating event, carrying a very high morbidity and mortality rate. Hypertension and age-related amyloid angiopathy are the strongest risk factors for ICH, but smoking, anticoagulation with warfarin, excessive alcohol intake and cocaine also increase risk. This, the fourth in a Missouri Medicine series on stroke summarizes the clinical and imaging aspects of making the diagnosis of ICH. Current medical and surgical therapies are discussed as well as predictors of outcome and recommendations for secondary prevention.

摘要

脑出血(ICH)是一种灾难性事件,具有非常高的发病率和死亡率。高血压和年龄相关性淀粉样血管病是脑出血最强的危险因素,但吸烟、使用华法林抗凝、过量饮酒和使用可卡因也会增加风险。这是《密苏里医学》中风系列的第四篇文章,总结了脑出血诊断的临床和影像学方面。文中还讨论了当前的内科和外科治疗方法以及预后预测因素和二级预防建议。

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Hemorrhagic stroke: intracerebral hemorrhage.出血性卒中:脑出血。
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引用本文的文献

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Intracerebral Hemorrhage: The Global Differential Burden and Secular Trends From 1990 to 2019 and Its Prediction up to 2030.脑出血:1990年至2019年全球差异负担及长期趋势及其至2030年的预测
Int J Public Health. 2025 May 21;70:1607013. doi: 10.3389/ijph.2025.1607013. eCollection 2025.
2
Intracerebral hemorrhage hospitalizations and outcomes: comparisons between institutional and national data.脑出血住院情况及预后:机构数据与全国数据的比较
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Administration of Calcium and Magnesium in Acute Intracerebral Hemorrhage Patients: Assessing Safety and Feasibility.急性脑出血患者钙和镁的给药:评估安全性和可行性。
J Korean Med Sci. 2025 Apr 14;40(14):e45. doi: 10.3346/jkms.2025.40.e45.
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Diagnostic Accuracy of Deep Learning for Intracranial Hemorrhage Detection in Non-Contrast Brain CT Scans: A Systematic Review and Meta-Analysis.深度学习在非增强脑部CT扫描中检测颅内出血的诊断准确性:一项系统评价和荟萃分析
J Clin Med. 2025 Mar 30;14(7):2377. doi: 10.3390/jcm14072377.
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Decompressive Hemicraniectomy without Evacuation of Acute Intraparenchymal Hemorrhage.不清除急性脑实质内出血的减压性颅骨切除术
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本文引用的文献

1
Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group.成人自发性脑出血管理指南:2007年更新版:美国心脏协会/美国卒中协会卒中委员会、高血压研究委员会以及研究中的医疗质量与结局跨学科工作组制定的指南
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Advances in intracerebral hemorrhage management.脑出血治疗的进展
Stroke. 2006 Feb;37(2):301-4. doi: 10.1161/01.STR.0000200445.68303.25. Epub 2006 Jan 12.
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Stroke. 2005 May;36(5):934-7. doi: 10.1161/01.STR.0000160756.72109.95. Epub 2005 Mar 24.
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Recombinant activated factor VII for acute intracerebral hemorrhage.重组活化凝血因子 VII 用于急性脑出血
N Engl J Med. 2005 Feb 24;352(8):777-85. doi: 10.1056/NEJMoa042991.
5
Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial.国际脑出血外科试验(STICH)中自发性幕上脑内血肿患者早期手术与初始保守治疗的随机试验
Lancet. 2005;365(9457):387-97. doi: 10.1016/S0140-6736(05)17826-X.
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Stroke. 2004 Jul;35(7):1703-8. doi: 10.1161/01.STR.0000130855.70683.c8. Epub 2004 May 20.
7
The effect of warfarin and intensity of anticoagulation on outcome of intracerebral hemorrhage.华法林及抗凝强度对脑出血结局的影响。
Arch Intern Med. 2004 Apr 26;164(8):880-4. doi: 10.1001/archinte.164.8.880.
8
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Stroke. 2000 Jan;31(1):123-7. doi: 10.1161/01.str.31.1.123.
9
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Stroke. 1998 Sep;29(9):1806-9. doi: 10.1161/01.str.29.9.1806.
10
Hydrocephalus: a previously unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage.脑积水:幕上脑出血预后不良的一个先前未被认识到的预测因素。
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