进展性缺血性脑卒中研究进展  

Advances in the study of progressive ischemic stroke

作　　者：宋水江[1] 荆山 SONG Shuijiang;JING Shan(Department of Neurology,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;不详)

机构地区：[1]浙江大学医学院附属第二医院神经内科,杭州310009 [2]杭州富阳树康康复医院神经内科

出　　处：《心电与循环》2022年第2期117-123,133,共8页Journal of Electrocardiology and Circulation

摘　　要：脑卒中具有较高的致残率和致死率,且发病年龄呈年轻化趋势。进展性缺血性脑卒中(PIS)是急性缺血性脑卒中发病几天内出现的神经功能恶化,是脑卒中预后不良的重要原因。PIS发病机制复杂,影响因素繁多,目前尚无有效的治疗方法。近年来随着各项临床试验结果被陆续报道,PIS的临床诊疗有了新的进展。本文就PIS的概念、发病机制、影响因素、预测指标、治疗方案等作一述评,以期为临床PIS病情评估与治疗提供参考。Stroke has a high disability rate and mortality,and the onset age is younger.Progressive ischemic stroke(PIS)is a neurological deterioration within a few days of onset of acute ischemic stroke,which is an important reason for poor prognosis of stroke.The pathogenesis of PIS is complex and there are many influencing factors,so there is no effective treatment at present.In recent years,the results of various clinical trials have been reported,and new progress has been made in the clinical diagnosis and treatment of PIS.This article reviews the concept,pathogenesis,influencing factors,predictive indicators and treatment plan of PIS,in order to provide reference for clinical evaluation and treatment of PIS.

关 键 词：进展性缺血性脑卒中 发病机制 影响因素 预测指标 治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]