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Stroke：急性缺血性脑卒中在静脉溶栓术后出现脑水肿的预测因子！

2017-08-08 shaosai MedSci原创

急性缺血性脑卒中静脉取栓脑水肿
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脑水肿（CED）是急性缺血性脑卒中非常严重的并发症。尚无可靠的方法来预测在脑梗死后CED进展的指标。本研究为了验证利用基线时临床和影像学资料预测急性脑卒中静脉溶栓术的患者CED进展的可行性，并发表在STROKE上。

脑水肿（CED）是急性缺血性脑卒中非常严重的并发症。尚无可靠的方法来预测在脑梗死后CED进展的指标。本研究为了验证利用基线时临床和影像学资料预测急性脑卒中静脉溶栓术的患者CED进展的可行性，并发表在STROKE上。在静脉溶栓术后，基于影像学图像对CED进行分成3级（轻度CED1、重度CED3）。本研究从SITS国际中心自2002-2011年收集的42187例患者资料中进行获取资料。比较有无CED患者的入院时的临床资料。利用后退法logistic回归分析来预测CED严重性的预测指标。在42187例患者中共发现9579例患者发生CED(22.7%： 12.5% CED 1， 4.9% CED 2， 5.3% CED 3)。在无CED患者相比中，CED患者入院时的NIHSS (17 versus 10； P<0.001)、急性梗死表现(27.9% versus 19.2%； P<0.001)更普遍，动脉高密度征更常见(37.6% versus 14.6%； P<0.001)，血糖更高(6.8 versus 6.4 mmol/L； P<0.001)。入院时NIHSS、动

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    2018-03-27 fusion

    #静脉#

    0

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    2018-06-13 guihongzh

    #缺血性#

    0

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    2018-05-20 ms7524819409032184

    #缺血性脑#

    0

  4. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Mon Aug 14 18:30:19 CST 2017, time=2017-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233301, encodeId=c9a6233301b2, content=学习了，谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Aug 13 23:39:19 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233106, encodeId=cd1b23310619, 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-14 1e145228m78(暂无匿称)

    学习了，谢谢作者分享!

    0

  5. 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-13 1e145228m78(暂无匿称)

    学习了，谢谢作者分享!

    0

  6. 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-13 ren1mw

    学习一下吧

    0

  7. 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-13 海棠胜雪

    学习了

    0

  8. 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-12 ren1mw

    学习一下！谢谢分享！

    0

  9. 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2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1259371, encodeId=71b012593e1f4, content=<a href='/topic/show?id=5679523e201' target=_blank style='color:#2F92EE;'>#急性缺血性脑卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52372, encryptionId=5679523e201, topicName=急性缺血性脑卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu Aug 10 14:24:00 CST 2017, time=2017-08-10, status=1, ipAttribution=)]
    2017-08-11 1e145228m78(暂无匿称)

    学习了，谢谢作者分享!

    0

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    2017-08-10 snowpeakxu

    #急性缺血性脑卒中#

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