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中国急性脑梗死后出血转化诊治共识2019

2019-04-30 中华医学会神经病学分会 中华神经科杂志, 2019,52(4) :252-265.

急性脑梗死后出血转化是脑梗死自然病程的一部分,也是溶栓等疗法的主要不良反应,不仅与脑梗死预后不良相关,也是多种改善血流疗法使用不足的重要原因。因此有必要科学认识出血转化的定义、分型、危险因素、诊断和处理原则。中华医学会神经病学分会及其脑血管病学组组织写作组,通过查询和评价现有研究证据、参考国际共识和指南、结合国情反复讨论,提出了相关的共识性意见,希望对出血转化的正确认识、临床处理和进一步研究提供指

中文标题:

中国急性脑梗死后出血转化诊治共识2019

发布日期:

2019-04-30

简要介绍:

急性脑梗死后出血转化是脑梗死自然病程的一部分,也是溶栓等疗法的主要不良反应,不仅与脑梗死预后不良相关,也是多种改善血流疗法使用不足的重要原因。因此有必要科学认识出血转化的定义、分型、危险因素、诊断和处理原则。中华医学会神经病学分会及其脑血管病学组组织写作组,通过查询和评价现有研究证据、参考国际共识和指南、结合国情反复讨论,提出了相关的共识性意见,希望对出血转化的正确认识、临床处理和进一步研究提供指导和参考。


拓展指南:与脑梗死相关指南:
更多信息请点击:与脑梗死更多指南

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  1. [GetPortalCommentsPageByObjectIdResponse(id=920232, encodeId=52d19202327a, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54205450798, createdName=ms1000000416538171, createdTime=Wed Jan 27 09:53:24 CST 2021, time=2021-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=909563, encodeId=52e990956355, content=刚好需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201212/9d5c6006c70b490395e89db6532a4f69/2cf1fc7201d14d1c93acd965ee56b190.jpg, createdBy=87472521349, createdName=124ddb96m47暂无昵称, createdTime=Sun Dec 20 14:17:07 CST 2020, time=2020-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908339, encodeId=3d2490833986, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c201726730, createdName=1dedaedcm53(暂无匿称), createdTime=Tue Dec 15 22:24:23 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890486, encodeId=3941890486d3, content=大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷, beContent=null, objectType=guider, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:54:15 CST 2020, time=2020-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890485, encodeId=063889048528, content=中国急性脑梗塞溶栓后脑出血转化的共识非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:52:21 CST 2020, time=2020-10-07, status=1, ipAttribution=)]
    2021-01-27 ms1000000416538171

    学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=920232, encodeId=52d19202327a, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54205450798, createdName=ms1000000416538171, createdTime=Wed Jan 27 09:53:24 CST 2021, time=2021-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=909563, encodeId=52e990956355, content=刚好需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201212/9d5c6006c70b490395e89db6532a4f69/2cf1fc7201d14d1c93acd965ee56b190.jpg, createdBy=87472521349, createdName=124ddb96m47暂无昵称, createdTime=Sun Dec 20 14:17:07 CST 2020, time=2020-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908339, encodeId=3d2490833986, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c201726730, createdName=1dedaedcm53(暂无匿称), createdTime=Tue Dec 15 22:24:23 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890486, encodeId=3941890486d3, content=大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷, beContent=null, objectType=guider, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:54:15 CST 2020, time=2020-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890485, encodeId=063889048528, content=中国急性脑梗塞溶栓后脑出血转化的共识非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:52:21 CST 2020, time=2020-10-07, status=1, ipAttribution=)]
    2020-12-20 124ddb96m47暂无昵称

    刚好需要

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=920232, encodeId=52d19202327a, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54205450798, createdName=ms1000000416538171, createdTime=Wed Jan 27 09:53:24 CST 2021, time=2021-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=909563, encodeId=52e990956355, content=刚好需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201212/9d5c6006c70b490395e89db6532a4f69/2cf1fc7201d14d1c93acd965ee56b190.jpg, createdBy=87472521349, createdName=124ddb96m47暂无昵称, createdTime=Sun Dec 20 14:17:07 CST 2020, time=2020-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908339, encodeId=3d2490833986, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c201726730, createdName=1dedaedcm53(暂无匿称), createdTime=Tue Dec 15 22:24:23 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890486, encodeId=3941890486d3, content=大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷, beContent=null, objectType=guider, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:54:15 CST 2020, time=2020-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890485, encodeId=063889048528, content=中国急性脑梗塞溶栓后脑出血转化的共识非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:52:21 CST 2020, time=2020-10-07, status=1, ipAttribution=)]
    2020-12-15 1dedaedcm53(暂无匿称)

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=920232, encodeId=52d19202327a, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54205450798, createdName=ms1000000416538171, createdTime=Wed Jan 27 09:53:24 CST 2021, time=2021-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=909563, encodeId=52e990956355, content=刚好需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201212/9d5c6006c70b490395e89db6532a4f69/2cf1fc7201d14d1c93acd965ee56b190.jpg, createdBy=87472521349, createdName=124ddb96m47暂无昵称, createdTime=Sun Dec 20 14:17:07 CST 2020, time=2020-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908339, encodeId=3d2490833986, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c201726730, createdName=1dedaedcm53(暂无匿称), createdTime=Tue Dec 15 22:24:23 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890486, encodeId=3941890486d3, content=大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷, beContent=null, objectType=guider, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:54:15 CST 2020, time=2020-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890485, encodeId=063889048528, content=中国急性脑梗塞溶栓后脑出血转化的共识非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:52:21 CST 2020, time=2020-10-07, status=1, ipAttribution=)]
    2020-10-07 ms3679303353353686

    大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=920232, encodeId=52d19202327a, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54205450798, createdName=ms1000000416538171, createdTime=Wed Jan 27 09:53:24 CST 2021, time=2021-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=909563, encodeId=52e990956355, content=刚好需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201212/9d5c6006c70b490395e89db6532a4f69/2cf1fc7201d14d1c93acd965ee56b190.jpg, createdBy=87472521349, createdName=124ddb96m47暂无昵称, createdTime=Sun Dec 20 14:17:07 CST 2020, time=2020-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908339, encodeId=3d2490833986, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c201726730, createdName=1dedaedcm53(暂无匿称), createdTime=Tue Dec 15 22:24:23 CST 2020, time=2020-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890486, encodeId=3941890486d3, content=大家亟待了解急性脑梗塞出血转化的相关问题,避免踏雷, beContent=null, objectType=guider, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:54:15 CST 2020, time=2020-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=890485, encodeId=063889048528, content=中国急性脑梗塞溶栓后脑出血转化的共识非常有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=44991762400, createdName=ms3679303353353686, createdTime=Wed Oct 07 10:52:21 CST 2020, time=2020-10-07, status=1, ipAttribution=)]
    2020-10-07 ms3679303353353686

    中国急性脑梗塞溶栓后脑出血转化的共识非常有用

    0

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