脑微出血急性卒中患者溶栓治疗的研究进展

脑微出血患者发生急性卒中事件时,在时间窗内给予溶栓治疗是十分具有挑战的临床决策。如果给予溶栓治疗,出血的风险较高;不给予溶栓治疗,可能使时间窗内的卒中患者错过最佳治疗的时机。研究发现,并不是所有的脑微出血急性卒中患者在接受溶栓治疗后都会发生出血,如果可以明确导致出血的危险因素,就能识别出适合溶栓的脑微出血患者,从而采取有针对性的治疗措施使患者受益。...

Full description

Saved in:
Bibliographic Details
Published in中国卒中杂志 Vol. 12; no. 10; pp. 958 - 961
Main Author 武崇光;柴琴琴;林杰;武一平
Format Journal Article
LanguageChinese
Published 056002 邯郸 河北工程大学医学院%056002,邯郸 邯郸市第一医院神内一科 2017
056002 邯郸 邯郸市第一医院神内一科
Subjects
卒中
溶栓治疗
脑微出血
卒中
Cerebral microbleeds
Stroke
脑微出血
溶栓治疗
Thrombolytic therapy
Online AccessGet full text
ISSN1673-5765
DOI10.3969/j.issn.1673-5765.2017.10.017

Cover

More Information
Summary:脑微出血患者发生急性卒中事件时,在时间窗内给予溶栓治疗是十分具有挑战的临床决策。如果给予溶栓治疗,出血的风险较高;不给予溶栓治疗,可能使时间窗内的卒中患者错过最佳治疗的时机。研究发现,并不是所有的脑微出血急性卒中患者在接受溶栓治疗后都会发生出血,如果可以明确导致出血的危险因素,就能识别出适合溶栓的脑微出血患者,从而采取有针对性的治疗措施使患者受益。
Bibliography:WU Chong-Guang1,2, CHAI Qin-Qin1, LIN Jie1, WU Yi-Ping1（1Department of Neurology, the First Hospital of Handan, Handan 056002, China,2Medieal College of Hebei University of Engineering, Handan 056002, China）
11-5434/R
It is a very challenging clinical decision for cerebral microbleeds in patients with acute stroke events to receive thrombolytic therapy. If given thrombolysis treatment, there will be a higher risk of bleeding. If do not give thrombolysis treatment, it may cause stroke patients missing the best timing of treatment within the time window. Studies have found that not all the patients with acute stroke and cerebral microbleeds had hemorrhage after having been treated with thrombolysis. If the risk factors for causing bleeding could be clarified, patients with cerebral microbleeds who are suitable for thrombolysis could be distinguished so as to take different treatment measures to benefit the patients.
Cerebral microbleeds; Thrombolytic therapy; Stroke
ISSN:1673-5765
DOI:10.3969/j.issn.1673-5765.2017.10.017