脑出血急性期并发脑梗死
Cerebral Infarction Shortly after Intracerebral Hemorrhage
DOI: 10.12677/ACM.2018.81010, PDF,  被引量   
作者: 覃月佳, 梁志坚*:广西医科大学第一附属医院神经内科,广西 南宁
关键词: 脑出血脑梗死临床特点发病机制Intracerebral Hemorrhage Cerebral Infarction Clinical Characteristics Pathogenesis
摘要: 脑出血急性期罹患脑梗死的现象鲜有报道,但其发病率高、可增加患者致残率或死亡率,并可能导致血管性痴呆、认知障碍,临床上需要重视。本文从脑出血急性期并发脑梗死的临床特点、发病机制、防治措施方面进行综述,旨在提高对脑出血急性期并发脑梗死的进一步认识。
Abstract: Cerebral infarction occurring soon after acute intracerebral hemorrhage has been rarely reported, but its high incidence can increase patients’ morbidity or mortality, and could lead to vascular dementia and cognitive impairment. It is necessary to pay attention to this phenomenon in clinical. This article reviews the clinical characteristics, pathogenesis and preventive measures of cerebral infarction shortly after intracerebral hemorrhage, and aims to enhance the understanding of this phenomenon.
文章引用:覃月佳, 梁志坚. 脑出血急性期并发脑梗死[J]. 临床医学进展, 2018, 8(1): 53-58. https://doi.org/10.12677/ACM.2018.81010

参考文献

[1] Weisberg, L.A., et al. (1990) Lacunar Infarction in Patients with Hypertensive Intracerebral Hemorrhage. The Southern Medical Journal, 83, 1050-1052.
[Google Scholar] [CrossRef] [PubMed]
[2] Garg, R.K., et al. (2012) Blood Pressure Reduction, Decreased Diffusion on MRI, and Outcomes after Intracerebral Hemorrhage. Stroke, 43, 67-71.
[Google Scholar] [CrossRef
[3] Menon, R.S., et al. (2012) Predictors of Highly Prevalent Brain Ischemia in Intracerebral Hemorrhage. Annals of Neurology, 71, 199-205.
[Google Scholar] [CrossRef] [PubMed]
[4] Prabhakaran, S., et al. (2010) Acute Brain Infarcts After Spontaneous Intracerebral Hemorrhage
A Diffusion-Weighted Imaging Study. Stroke, 41, 89-94.
[Google Scholar] [CrossRef
[5] Kang, D.W., et al. (2012) New Ischemic Lesions Coexisting with Acute Intracerebral Hemorrhage. Neurology, 79, 848-855.
[Google Scholar] [CrossRef
[6] Gregoire, S.M., et al. (2011) Acute Ischaemic Brain Lesions in Intracerebral Haemorrhage: Multicentre Cross-Sectional Magneticresonance Imaging Study. Brain, 134, 2376-2386.
[Google Scholar] [CrossRef] [PubMed]
[7] Paulson, O.B., Waldemar, G., Schmidt, J.F. and Strandgaard, S. (1989) Cerebral Circulation under Normal and Pathologic Conditions. American Journal of Cardiology, 63, 2C-5C.
[8] Bernick, C., et al. (2001) Silent MRI Infarcts and the Risk of Future Stroke: The Cardiovascular Health Study. Neurology, 57, 1222-1229.
[9] Bokura, H., et al. (2006) Silent Brain Infarction and Subcorticaj White Matter Iesions Increase the Risk of Stroke and Mortality: A Prospective Cohort Study. Journal of Stroke and Cerebrovascular Diseases, 15, 57-63.
[10] Toyoda, K., et al. (2002) Simultaneous Onset of Haemorrhagic and Ischaemic Strokes in a Haemodialysis Patient. Journal of Neurology, Neurosurgery, and Psychiatry, 72, 673-674.
[Google Scholar] [CrossRef] [PubMed]
[11] Kim, C.H., et al. (2007) Development of Cerebral Infarction Shortly after Intracerebral Hemorrhage. European Neurology, 57, 145-149.
[Google Scholar] [CrossRef] [PubMed]
[12] Kimberly, W.T., et al. (2009) Silent ischemic Infarcts Are Associated with Hemorrhage Burden in Cerebral Amyloid Angiopathy. Neurology, 72, 1230-1235.
[Google Scholar] [CrossRef] [PubMed]
[13] Fisher, C.M. (1971) Pathological Observations in Hypertensive Cerebral Hemorrhage. Journal of Neuropathology & Experimental Neurology, 30, 536-550.
[Google Scholar] [CrossRef] [PubMed]
[14] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑小血管病诊治共识[J]. 中华神经科杂志, 2015, 48(10): 838-844.
[15] Prabhakaran, S., et al. (2010) Acute Brain Infarcts after spontaneous Intracerebral Hemorrhage: A Diffusion-Weighted Imaging Study. Stroke, 41, 89-94.
[Google Scholar] [CrossRef
[16] Hemphill, J.C., et al. (2015) Guidelines for the Management of Spon-taneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 46, 2032-2060.
[Google Scholar] [CrossRef
[17] Anderson, C.S., et al. (2013) Rapid Blood-Pressure Lowering in Patients with Acute Intracerebral Hemorrhage. The New England Journal of Medicine, 368, 2355-2365.
[Google Scholar] [CrossRef
[18] Traon, A.P., et al. (2002) Dynamics of Cerebral Bloodflow Autoregulation in Hypertensive Patients. Journal of the Neurological Sciences, 195, 139-144.
[19] 张昱, 等. 脑出血的病理改变及病理生理过程[J]. 中国现代神经疾病杂志, 2015, 5(2): 75-78.
[20] Kidwell, C.S., et al. (2011) Hyperacute Injury Marker (HARM) in Primary He-morrhage: A Distinct Form of CNS Barrier Disruption. Neurology, 77, 1725-1728.
[Google Scholar] [CrossRef
[21] Nagasaka, T., et al. (2007) Concomitant Cerebral Infarction and Intra-ventricular Hemorrhage in Moyamoya Disease. Case Report. Journal of Neurosurgery, 106, 388-390.
[22] Mendelow, A.D. (1993) Mechanisms of Ischemic Brain Damage with Intracerebral Hemorrhage. Stroke, 24, 115-119.
[23] Kwa, V.I., van der Sande, J.J., Stam, J., Tijmes, N. and Vrooland, J.L. (2002) Amsterdam Vascular Medicine Group. Neurology, 59, 1536-1540.
[Google Scholar] [CrossRef
[24] Pantoni, L. (2010) Cerebral Small Vessel Disease: From Patho-genesis and Clinical Characteristics to Therapeutic Challenges. The Lancet Neurology, 9, 689-701.
[Google Scholar] [CrossRef
[25] Sakamoto, Y., et al. (2013) Systolic Blood Pressure after Intravenous Antihypertensive Treatment and Clinical Outcomes in Hyperacute Intracerebral Hemorrhage: The Stroke Acute Management with Urgent Risk-Factor Assessment and Improvement-Intracerebral Hemorrhage Study. Stroke, 44, 1846-1851.
[Google Scholar] [CrossRef
[26] Butcher, K.S., et al. (2013) The Intracerebral Hemorrhage Acutely Decreasing Arterial Pressure Trial. Stroke, 44, 620-626.
[Google Scholar] [CrossRef
[27] Diedler, J., et al. (2014) Optimal Cerebral Perfusion Pressure in Patients with Intracerebral Hemorrhage: An Observational Case Series. Critical Care, 18, R51.
[28] 王爽, 杨弋审. 脑血流自动调节概述及其在脑血管疾病中的应用[J]. 中风与神经疾病杂志, 2014, 11(31): 1049-1052.
[29] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑出血诊治指南2014[J]. 中华神经科杂志, 2015, 6: 435-444.
[30] Wasay, M., et al. (2008) A Non-Randomized Study of Safety and Efficacy of Heparin for DVT Prophylaxis in Intracerebral Haemorrhage. The Journal of the Pakistan Medical Association, 58, 362-364.
[31] Boeer, A., et al. (1991) Early Heparin Therapy in Patients with Spontaneous Intracerebral Haemorrhage. Journal of Neurology, Neurosurgery, and Psychiatry, 54, 466-467.
[Google Scholar] [CrossRef] [PubMed]