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出血性栓塞被认为是一种不良的神经系统并发症,并认为不能使用抗凝剂。近来对于溶栓剂的应用又提出了质疑。Bozzao等报道,半球栓塞的病人50%在中风发作后第七天CT片上有出血性栓塞的表现。发病4小时之内者CT上无出血性栓塞的表现。其它文献报道,通过连续性CT检查,在中风3~4天,通常迟至第2周可有出血性栓塞的表现。Bozzao发现在中风4小时内的CT片上如有低密度改变则此后发生出血性栓塞者占72%,且大脑动脉的栓塞部位与出血性栓塞的发生有一定关系。
Hemorrhagic embolism is considered a poor complication of the nervous system and does not consider the use of anticoagulants. Recently, the use of thrombolytic agents has raised questions. Bozzao et al reported that 50% of patients with hemispheric embolism had hemorrhagic embolism on the seventh day after a stroke onset. Within 4 hours of onset on CT without hemorrhagic embolism performance. Other literature reports that by continuous CT examination, hemorrhagic embolism may occur at 3 to 4 days of stroke, usually as late as 2 weeks. Bozzao found that there was a 72% incidence of hemorrhagic embolism after a low-density CT scan within 4 hours of stroke. Cerebral artery embolization was associated with hemorrhagic embolism.