Chinese and Western medicine with sub-phases time typing Differential Diagnosis and Treatment of hemorrhagic transformation.docVIP

 PAGE \* MERGEFORMAT 21 Chinese and Western medicine with sub-phases time typing Differential Diagnosis and Treatment of hemorrhagic transformation [Keywords:] Zhong Xi Yi Jie; stages; sub-slots; classification; Differential Diagnosis and Treatment; hemorrhagic transformation Hemorrhagic transformation (HT) refers to the original lesion within the cerebral bleeding into evidence. HT is common after cerebral infarction within infarct hemorrhagic lesions, including natural occurrence and bleeding occurred after drug treatment may be due to a natural mechanism. Autopsy found dead in embolic stroke by 51% ~ 71% of HT. HT after acute cerebral infarction occurrence of spontaneous rate of 10% ~ 43% [1]. HT is a cerebral infarction sicker, maiming, killing one of the main. 1 HT classification, risk factors and the significance of early detection of HT is divided into hemorrhagic infarction (HI, without mass effect hemorrhage) and cerebral hematoma formation (PH, with mass effect bleeding) types. HI, and PH refers to the cerebral ischemic lesion occurring in HT, as the infarct region due to vascular recanalization, that is the basis of secondary cerebral bleeding. Hemorrhagic infarction: including HT and non-infarct hemorrhage after cerebral infarction, its pathophysiological mechanism is mainly caused by ischemia and vascular wall injury and occlusion of blood vessel recanalization, collateral circulation, hypertension, high blood sugar began to thrombolysis time and dosage of thrombolytic drugs such as caused by the extravasation of blood. HT risk factors include cardiac infarction, massive cerebral infarction, age, hypertension, high blood sugar, thrombolysis and descending fiber treatment, cerebral vein or venous sinus thrombosis. HT forecasting and early detection of significance: 71% of cardiogenic cerebral embolism and bleeding may occur, approximately 95% of the hemorrhagic infarction caused by cardiac embolism. Animal studies found that after middle cer