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中风的系列计算机断层扫描表现。

Sequential computerized tomographic appearance of strokes.

作者信息

Hakim A M, Ryder-Cooke A, Melanson D

出版信息

Stroke. 1983 Nov-Dec;14(6):893-7. doi: 10.1161/01.str.14.6.893.

DOI:10.1161/01.str.14.6.893
PMID:6658992
Abstract

Eighteen consecutive patients satisfying predefined clinical criteria for embolic strokes were prospectively studied by sequential computerized tomography (CT). Their findings were compared to CT scans obtained from patients presumed to have suffered thrombotic strokes. Our data reveal that the CT appearance of hemorrhagic infarction is likely to occur twice as frequently (22%) in CT scans of strokes presumed embolic than in those presumed thrombotic, where hemorrhagic infarction appeared at some time in 10% of the patients. No patient deteriorated with anticoagulation regardless of the CT appearance. In patients showing hemorrhagic infarction before anticoagulants, follow-up scans obtained after the administration of anticoagulants revealed resolution of the hemorrhagic aspect.

摘要

通过连续计算机断层扫描(CT)对18例符合栓塞性中风预定义临床标准的连续患者进行了前瞻性研究。将他们的检查结果与从推测为血栓形成性中风患者获得的CT扫描结果进行比较。我们的数据显示,在推测为栓塞性中风的CT扫描中,出血性梗死的CT表现出现频率可能是推测为血栓形成性中风的两倍(22%),在推测为血栓形成性中风的患者中,10%的患者在某个时间出现了出血性梗死。无论CT表现如何,抗凝治疗均未使患者病情恶化。在抗凝治疗前出现出血性梗死的患者中,抗凝治疗后获得的随访扫描显示出血情况有所缓解。

相似文献

1
Sequential computerized tomographic appearance of strokes.中风的系列计算机断层扫描表现。
Stroke. 1983 Nov-Dec;14(6):893-7. doi: 10.1161/01.str.14.6.893.
2
Immediate anticoagulation of embolic stroke: brain hemorrhage and management options. Cerebral Embolism Study Group.栓塞性卒中的即刻抗凝治疗:脑出血及处理选择。脑栓塞研究组
Stroke. 1984 Sep-Oct;15(5):779-89. doi: 10.1161/01.str.15.5.779.
3
The diagnosis and management of cerebral embolism and haemorrhagic infarction with sequential computerized cranial tomography.
Brain. 1987 Feb;110 ( Pt 1):93-105. doi: 10.1093/brain/110.1.93.
4
Immediate anticoagulation of embolic stroke: a randomized trial. Cerebral Embolism Study Group.
Stroke. 1983 Sep-Oct;14(5):668-76. doi: 10.1161/01.str.14.5.668.
5
Differentiation between cerebral embolism and thrombosis on sequential CT scans.通过连续CT扫描鉴别脑栓塞与血栓形成。
J Comput Assist Tomogr. 1990 Jan-Feb;14(1):26-31. doi: 10.1097/00004728-199001000-00004.
6
Cardioembolic stroke, early anticoagulation, and brain hemorrhage. Cerebral Embolism Study Group.心源性栓塞性卒中、早期抗凝与脑出血。脑栓塞研究组。
Arch Intern Med. 1987 Apr;147(4):636-40.
7
The clinical spectrum of hemorrhagic infarction.出血性梗死的临床谱。
Stroke. 1986 Jul-Aug;17(4):630-7. doi: 10.1161/01.str.17.4.630.
8
[Computerized axial tomography and cerebrovascular diseases].[计算机断层扫描与脑血管疾病]
Med Clin (Barc). 1985 Nov 30;85(18):749-52.
9
Clinical neuroimaging approaches to cerebrovascular diseases.脑血管疾病的临床神经影像学检查方法
Neurol Clin. 1984 Nov;2(4):655-65.
10
Evaluation of the risk of immediate anticoagulant treatment in patients with embolic stroke of cardiac origin.
Stroke. 1983 Jan-Feb;14(1):42-6. doi: 10.1161/01.str.14.1.42.

引用本文的文献

1
Treatment and Outcomes of Thrombolysis Related Hemorrhagic Transformation: A Multi-Center Study in China.溶栓相关出血性转化的治疗与结局:一项中国多中心研究
Front Aging Neurosci. 2022 Apr 7;14:847648. doi: 10.3389/fnagi.2022.847648. eCollection 2022.
2
Anticoagulants for acute ischaemic stroke.急性缺血性脑卒中的抗凝治疗。
Cochrane Database Syst Rev. 2021 Oct 22;10(10):CD000024. doi: 10.1002/14651858.CD000024.pub5.
3
Why not Intravenous Thrombolysis in Patients with Recurrent Stroke within 3 Months?为何不在3个月内复发性卒中患者中进行静脉溶栓治疗?
Aging Dis. 2018 Apr 1;9(2):309-316. doi: 10.14336/AD.2017.0406. eCollection 2018 Apr.
4
Anticoagulants for acute ischaemic stroke.急性缺血性卒中的抗凝剂
Cochrane Database Syst Rev. 2015 Mar 12;2015(3):CD000024. doi: 10.1002/14651858.CD000024.pub4.
5
Successful use of Alteplase during cardiopulmonary resuscitation following massive PE in a patient presenting with ischaemic stroke and haemorrhagic transformation.在一名患有缺血性中风并发生出血性转化的患者发生大面积肺栓塞后进行心肺复苏期间成功使用阿替普酶。
BMJ Case Rep. 2014 Oct 31;2014:bcr2013200480. doi: 10.1136/bcr-2013-200480.
6
X-ray computed tomography (CT) study of small, deep and recent infarcts (SDRIs) of the cerebral hemispheres in adults. Preliminary and critical report.成人脑半球小型、深部及近期梗死灶(SDRIs)的X线计算机断层扫描(CT)研究。初步及重要报告。
Neuroradiology. 1985;27(6):494-508. doi: 10.1007/BF00340845.