出血转化的临床影像学评估  

Clinical imaging evaluation of hemorrhagic transformation

作　　者：杨思敏 刘康丽 刘晓雨 方贺 杨伟民[1] YANG Simin;LIU Kangli;LIU Xiaoyu;FANG He;YANG Weimin(Department of Neurology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,P.R.China)

机构地区：[1]郑州大学第一附属医院神经内科,郑州450052

出　　处：《华西医学》2024年第5期681-683,共3页West China Medical Journal

基　　金：国家自然科学基金(U2004106)。

摘　　要：出血转化是急性缺血性卒中患者血管内治疗后最严重的并发症之一,与神经功能恶化和较差的功能预后密切相关,因此出血转化的早发现、早治疗对改善患者预后有重要意义。颅脑CT、CT血管成像、CT灌注成像、MRI、弥散加权成像及磁敏感加权成像等是临床上相对常用的影像学方法,合理采用影像学手段可降低出血转化的风险,进而改善患者预后。该文综述了临床常见的出血转化影像学评估技术,以期为临床诊疗提供思路。Hemorrhagic transformation is one of the most serious complications after endovascular treatment in patients with acute ischemic stroke,which is closely related to neurological deterioration and poor functional prognosis.Therefore,early detection and treatment of hemorrhagic transformation are of great significance for improving patient prognosis.Brain CT,CT angiography,CT perfusion imaging,MRI,diffusion weighted imaging,and susceptibility weighted imaging are relatively commonly used imaging methods in clinical practice.Reasonable use of imaging methods can reduce the risk of hemorrhagic transformation and improve patient prognosis.This article reviews common imaging evaluation techniques for hemorrhagic transformation in clinical practice in order to provide ideas for clinical diagnosis and treatment.

关 键 词：急性缺血性卒中 出血转化 神经影像学技术 

分 类 号：R73[医药卫生—肿瘤]