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脑出血后内源性血肿吸收的研究进展

Research progress of endogenous hematoma absorption after intracerebral hemorrhage.

作者信息

Fu Peijie, Zhang Manqing, Wu Moxin, Zhou Weixin, Yin Xiaoping, Chen Zhiying, Dan Chuanjun

机构信息

Department of Neurology, Clinical Medical School of Jiujiang University, Jiujiang, Jiangxi, China.

Jiujiang Clinical Precision Medicine Research Center, Jiujiang, Jiangxi, China.

出版信息

Front Neurol. 2023 Mar 10;14:1115726. doi: 10.3389/fneur.2023.1115726. eCollection 2023.

Abstract

Non-traumatic intraparenchymal brain hemorrhage is referred to as intracerebral hemorrhage (ICH). Although ICH is associated with a high rate of disability and case fatality, active intervention can significantly lower the rate of severe disability. Studies have shown that the speed of hematoma clearance after ICH determines the patient's prognosis. Following ICH, depending on the hematoma volume and mass effect, either surgical- or medication-only conservative treatment is chosen. The goal of promoting endogenous hematoma absorption is more relevant because surgery is only appropriate for a small percentage of patients, and open surgery can cause additional trauma to patients. The primary method of removing hematoma after ICH in the future will involve understanding how to produce and manage macrophage/microglial endogenous phagocytic hematomas. Therefore, it is necessary to elucidate the regulatory mechanisms and key targets for clinical purposes.

摘要

非创伤性脑实质内出血被称为脑出血(ICH)。尽管脑出血与高致残率和病死率相关,但积极干预可显著降低严重残疾率。研究表明,脑出血后血肿清除速度决定患者预后。脑出血后,根据血肿体积和占位效应,选择手术或仅药物保守治疗。促进内源性血肿吸收的目标更具相关性,因为手术仅适用于一小部分患者,且开颅手术会给患者带来额外创伤。未来脑出血后清除血肿的主要方法将涉及了解如何产生和管理巨噬细胞/小胶质细胞内源性吞噬血肿。因此,有必要阐明其调控机制和关键靶点以用于临床。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5e/10036389/64e63e35c30f/fneur-14-1115726-g0001.jpg

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