急性缺血性卒中患者血栓成分和影像学表现的研究进展  

Research progress of thrombus compositions and imaging manifestations in patients with acute ischemic stroke

作　　者：刘佳奕 章正祥 严民力 戚观树[2] 陈强 侯群[2] LIU Jia-yi;ZHANG Zheng-xiang;YAN Min-li;QI Guan-shu;CHEN Qiang;HOU Qun(the First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053;Department of Neurology, the First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou 310006, China)

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江中医药大学附属第一医院(浙江省中医院)神经内科,浙江杭州310006

出　　处：《基础医学与临床》2021年第1期112-115,共4页Basic and Clinical Medicine

基　　金：全国名老中医药专家传承工作室建设项目([2012]149);全国名老中医药专家传承工作室建设项目(饶旺福全国名老中医药专家传承工作室)([2016]42)。

摘　　要：近年来随着血管内介入治疗的快速发展,对急性缺血性卒中(AIS)患者血栓的研究日益加深,血栓的组成主要包括红细胞、纤维蛋白/血小板、白细胞、血管性血友病因子(vWF)及其他少见的成分,在非增强电子计算机断层扫描(NCCT)和磁共振成像(MRI)上可分别表现为动脉高密度征(HAS)及磁敏感血管征(SVS)。通过进一步分析其成分、影像学表现有助于了解AIS的病因、选择治疗方法、临床预后等。With the rapid development of intravascular interventional treatment,the study of thrombus in patients with acute ischemic stroke(AIS)has been intensified in recent vears.The composition of thrombus mainly includes red blood cells,fibrin/platelets,white blood cells,and von Willebrand factor(vWF)and other rare components,which can be manifested as arterial hyperdensity sign(HAS)and susceptibility vessel sign(SVS)on non-contrast CT(NCCT)and magnetic resonance imaging(MRI).Further analysis of thrombus components and imaging manifestations will help to understand the etiology,treatment selection and clinical prognosis of AIS.

关 键 词：血栓成分 白细胞 血管性血友病因子(vWF) 动脉高密度征(HAS) 磁敏感血管征(SVS) 

分 类 号：R743[医药卫生—神经病学与精神病学]