自发性脑出血后继发性脑损伤的影像学研究进展

doi:10.3969/j.issn.1673-5765.2023.03.014

摘要/Abstract

摘要： 在自发性脑出血所致原发性损伤的最佳治疗方法尚存争议的情况下，继发性脑损伤带来的影响越来越得到重视。继发性脑损伤是自发性脑出血后必然发生的病理生理过程，诸多研究表明继发性脑损伤对预后有着显著影响。影像学手段是临床研究中用于评估继发性脑损伤最常用的手段，不同的影像学方法均可对明确继发性脑损伤与预后的关系提供一定帮助。本文对继发性脑损伤各种影像学评估方法的研究现状展开综述，希望从中获取继发性脑损伤准确预测方法的新思路。

文章导读： 脑水肿多种影像学评估方法各有优劣，应使多种方法有效联动，扬长避短，进而更加及时、准确地指导临床治疗。

关键词: 自发性脑出血; 继发性脑损伤; 计算机断层成像; 磁共振成像; 预后

Abstract: When the best therapy for primary injury caused by spontaneous intracerebral hemorrhage is still controversial, the impact of secondary brain injury has been paid more and more attention. Secondary brain injury is an inevitable pathophysiological process after spontaneous intracerebral hemorrhage. Many studies have shown that secondary brain injury has a significant impact on the prognosis. Imaging is the most commonly used method to evaluate secondary brain injury in clinical research. Different imaging techniques are helpful in determining the relationship between secondary brain injury and the prognosis. Therefore, this paper reviewed the research status of various image methods in evaluating secondary brain injury.

Key words: Spontaneous intracerebral hemorrhage; Secondary brain injury; Computed tomography; Magnetic resonance imaging; Prognosis

李波, 胡永珍, 李雪松. 自发性脑出血后继发性脑损伤的影像学研究进展[J]. 中国卒中杂志, 2023, 18(03): 347-352.

LI Bo, HU Yongzhen, LI Xuesong.

Imaging Evaluation of Secondary Brain Injury in Spontaneous Intracerebral Hemorrhage

[J]. Chinese Journal of Stroke, 2023, 18(03): 347-352.

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