脑出血继续出血的临床及CT的诊断研究进展

自发性颅内出血是卒中中最严重但却最缺乏治疗方案的类型,其预测及预后均取决于血肿的体积及血肿扩张的范围,降压治疗对于限制血肿增长及改善临床结果是可信的。影响脑出血继续出血的因素有诸多方面,因此对于继续出血的预测很重要,临床通过观察各个临床指征及相关检查结果帮助诊断。随着医疗技术的飞速发展,影像检查的诊断作用日益提高,CT三维重建技术已显示其诊断的优越性。及早预防脑出血、控制继续出血极为必要,目前的治疗方案致力于解决继续出血以改善预后,而在治疗脑出血后应长期、规律地抗高血压治疗,防止再出血,提高生存率,降低致残率、病死率。本文从早期血肿扩大的相关因素、发生机制、相关分子信号、CT三维重建在颅内血肿的应用及预后治疗等方面进行综合阐述。

The Clinical and CT Diagnosis in Continuous Hemorrhage

Intracerebral hemorrhage (ICH) is the most serious but least treatable form of stroke, with prognosis critically dep endent on both the size and degree of hematoma expansion, reduction of the early hypertension seen with ICH is believed to limit he matoma growth and improve clinical outcome. There are many influence factors in cerebral hemorrhage continue to hemorrhage, which is important to predict, the continuous hemorrhage. The observation of clinical indications and related inspection results can help in the diagnosis. With the rapid development of medical technology, the function of imaging diagnosis is more important, CT three dimensional reconstruction technique has shown that the superiority of the diagnosis. As soon as possible to prevent cerebral hemorrhage, control continuous hemorrhage as soon as possible is extremely necessary. Treatments that target hematoma expansion offer potential to improve outcomes. It should be long-term, regular antihypertensive therapy in the treatment of cerebral hemorrhage to prevent bleeding again and improve survival rate, reduce morbidity and mortality. We reviewed the factors related, molecular signal related, CT three dimensional reconstruction in the application of intracerebral hemorrhage, and its prognosis treatment in this article.