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脑出血的病理生理机制及潜在治疗靶点

Pathophysiological Mechanisms and Potential Therapeutic Targets in Intracerebral Hemorrhage.

作者信息

Shao Zhiwei, Tu Sheng, Shao Anwen

机构信息

Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Department of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Front Pharmacol. 2019 Sep 19;10:1079. doi: 10.3389/fphar.2019.01079. eCollection 2019.

Abstract

Intracerebral hemorrhage (ICH) is a subtype of hemorrhagic stroke with high mortality and morbidity. The resulting hematoma within brain parenchyma induces a series of adverse events causing primary and secondary brain injury. The mechanism of injury after ICH is very complicated and has not yet been illuminated. This review discusses some key pathophysiology mechanisms in ICH such as oxidative stress (OS), inflammation, iron toxicity, and thrombin formation. The corresponding therapeutic targets and therapeutic strategies are also reviewed.

摘要

脑出血(ICH)是出血性卒中的一种亚型,具有高死亡率和高发病率。脑实质内形成的血肿会引发一系列不良事件,导致原发性和继发性脑损伤。脑出血后的损伤机制非常复杂,尚未完全阐明。本文综述了脑出血中的一些关键病理生理机制,如氧化应激(OS)、炎症、铁毒性和凝血酶形成。同时也对相应的治疗靶点和治疗策略进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d4/6761372/e09fc5909da5/fphar-10-01079-g001.jpg

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