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脑梗死后再发缺血性卒中与脑出血患者微血管病变及预后的比较 [PDF]
【目的】探讨脑梗死后再发缺血性卒中与脑出血患者的临床特点、影像学上微血管病变及预后的异同。【方法】连续收集急性复发性卒中的住院病例(初发事件为脑梗死,复发事件包括脑梗死或脑出血),详细记录临床资料。观察脑内微出血及自质病变的严重程度,随访有无严重血管事件及死亡的发生。【结果】175例再发脑梗死患者。19例复发事件为脑出血的患者进入本研究。155例(88.6%)再发脑梗死患者,以及18例(94.7%)脑出血患者存在自质病变。77例(44%)再发脑梗死患者和16例(84.2%)脑出血患者存在脑内微出血 ...
杨淞然 +5 more
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尿毒症血液透析患者是脑出血的高危人群。因血液透析患者存在很多特殊的危险因素,如脑血管结构异常、血流动力学异常、钙磷代谢异常、动脉钙化、血压波动大、肾素-血管紧张素系统过度兴奋等,使用抗凝剂更增加了出血风险的发生。流行病学调查表明,维持性血液透析者脑出血发生的风险为同时期健康人群的10.
缪世梅, 周春霞, 张旭
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1985-1992年,作者收治脑室出血35例。单纯脑室出血6例,脑实质出血破入脑室29例。一侧或二侧脑室出血22例,二侧脑室合并三脑室或三、四脑室出血13例。出血原因:高血压25例,动静脉畸形4例,脑血管瘤1例,原因不明5例。依脑室出血范围及血肿量多少采用单侧或双侧钻孔引流。引流时间2-25d。引流量60-380ml/d。经治疗存活22例,恢复原来工作或生活自理8例,生活半自理12例,在死亡13例中,术后合并肺炎、上消化道大出血9例。临床研究结果提示,脑室引流是抢救本病有效的重要措施。
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本文对365例不同原因的脑血管病变尸检病例作了分析讨论。高血压动脉硬化占全部病例的26.85%。平均年龄58.4岁。脑的病变包括出血、出血伴梗塞及单纯梗塞。其中脑出血最多,但随着脑动脉粥样硬化程度加重,脑出血比例相对地减少,脑出血加梗塞及脑梗塞相对增加。
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99Tcm- HL91 脑乏氧显像检测急性脑卒中患者乏氧脑组织及其意义 [PDF]
【目的】评价 99Tcm- HL91 脑乏氧显像检测急性脑卒中患者乏氧脑组织及其意义。【方法】急性大脑梗塞患者 57 例( 14 例完全前循环梗塞, 33 例部分前循环梗塞, 10 例腔隙样梗塞) 和脑出血患者 12 例( 4 例基底节区出血, 8 例大脑半球皮质出血) 行 99Tcm- HL91 SPECT/CT 显像, 部分患者与 99Tcm- ECD 血流灌注显像或/和 18F-FDG 代谢显像对照。显像结果与临床基础状况和随后的神经功能改变对比分析。【结果】①脑梗塞组: 乏氧阳性共34 例 ...
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Highlights Among 301 studies, diabetes mellitus was the most studied cardiometabolic risk factor. In the network meta‐analysis, cerebrovascular disease had the highest impact (relative risk [RR] 1.69; 95% CI, 1.65–1.73) on COVID‐19 outcomes compared to other cardiometabolic risk factors.
Alina Binbin Li +9 more
wiley +1 more source
Highlights There was a U‐shaped relationship between glycemic gap and stroke recurrence during a long‐term follow‐up in a Chinese ischemic stroke registry. Clinical physicians should remain vigilant in the fluctuation of glucose level and use individualized glucose control strategies in patients with ischemic stroke.
Kang Yuan +10 more
wiley +1 more source
Highlights This study constructed the first 5‐year all‐cause mortality risk prediction model for patients with type 2 diabetes mellitus in south China. This well‐performing model, using highly accessible predictors collected in routine clinical settings, provides a powerful tool for clinicians to identify high‐risk diabetic patients.
Jiying Qi +10 more
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Highlights During the past 30 years, globally, the disease burden of stroke burden has decreased substantially; however, the disease burden of stroke attributable to high fasting plasma glucose (HFPG) failed to achieve a significant decline. The population‐attributable fraction of HFPG for stroke burden has been increasing across different regions ...
Yang Liu +8 more
wiley +1 more source
Abstract Aims Determine sex‐ and age‐associated psychophysical and neurophysiological differences in the processing of pain across the adult lifespan. Design Preliminary, exploratory, cross‐sectional study. Methods Using psychophysics (to measure intensity and unpleasantness) and functional magnetic resonance imaging blood oxygenation level dependent ...
Sebastian W. Atalla +8 more
wiley +1 more source

