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脑出血的治疗策略

Therapeutic strategies for intracerebral hemorrhage.

作者信息

Li Zhe, Khan Suliman, Liu Yang, Wei Ruixue, Yong V Wee, Xue Mengzhou

机构信息

Department of Cerebrovascular Diseases, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Academy of Medical Science, Zhengzhou University, Zhengzhou, China.

出版信息

Front Neurol. 2022 Nov 4;13:1032343. doi: 10.3389/fneur.2022.1032343. eCollection 2022.

DOI:10.3389/fneur.2022.1032343
PMID:36408517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9672341/
Abstract

Stroke is the second highest cause of death globally, with an increasing incidence in developing countries. Intracerebral hemorrhage (ICH) accounts for 10-15% of all strokes. ICH is associated with poor neurological outcomes and high mortality due to the combination of primary and secondary injury. Fortunately, experimental therapies are available that may improve functional outcomes in patients with ICH. These therapies targeting secondary brain injury have attracted substantial attention in their translational potential. Here, we summarize recent advances in therapeutic strategies and directions for ICH and discuss the barriers and issues that need to be overcome to improve ICH prognosis.

摘要

中风是全球第二大致死原因,在发展中国家发病率呈上升趋势。脑出血(ICH)占所有中风的10%-15%。由于原发性和继发性损伤的共同作用,脑出血与较差的神经功能预后和高死亡率相关。幸运的是,现有一些实验性疗法可能改善脑出血患者的功能预后。这些针对继发性脑损伤的疗法在其转化潜力方面已引起了广泛关注。在此,我们总结了脑出血治疗策略和方向的最新进展,并讨论了改善脑出血预后需要克服的障碍和问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a73b/9672341/b68ab5c89329/fneur-13-1032343-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a73b/9672341/b68ab5c89329/fneur-13-1032343-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a73b/9672341/b68ab5c89329/fneur-13-1032343-g0001.jpg

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本文引用的文献

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Front Immunol. 2022 Aug 31;13:986469. doi: 10.3389/fimmu.2022.986469. eCollection 2022.
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Neuroprotection by Ozanimod Following Intracerebral Hemorrhage in Mice.奥扎莫德对小鼠脑出血后的神经保护作用。
Front Mol Neurosci. 2022 Jun 15;15:927150. doi: 10.3389/fnmol.2022.927150. eCollection 2022.
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Iron Neurotoxicity and Protection by Deferoxamine in Intracerebral Hemorrhage.脑出血中铁的神经毒性及去铁胺的保护作用
阵发性交感神经过度兴奋对重症脑出血患者预后的影响
Neurocrit Care. 2025 Apr 30. doi: 10.1007/s12028-025-02258-5.
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TREK- 1 Ameliorates Secondary Brain Injury by Regulating Inflammatory Microenvironment via CX3 CL1-CX3 CR1 Pathway After Intracerebral Hemorrhage.TREK-1通过脑出血后CX3CL1-CX3CR1通路调节炎症微环境改善继发性脑损伤。
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Inhibition of C3a/C3aR by SB290157 Attenuates Neuroinflammation via PKC/P38/NLRP3 Signaling Pathway After Intracerebral Hemorrhage.SB290157对C3a/C3aR的抑制通过脑出血后PKC/P38/NLRP3信号通路减轻神经炎症。
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Neurosurg Rev. 2025 Jan 23;48(1):76. doi: 10.1007/s10143-025-03229-2.
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