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目的探讨非栓塞性脑梗死患者发生出血性转化(hemorrhagic transformation,HT)的相关因素和预后。方法对16例非栓性脑梗死患者的临床资料进行回顾分析。结果患者平均年龄75.5岁,大面积脑梗死(81.2%)是主要病因,高血压(75%),糖尿病(50%)有较高的发生率。结论非栓塞性脑梗死的HT常发生在高龄及大面积脑梗死,高血压、糖尿病是重要病因,多为晚发型出血,预后较好。
Objective To investigate the related factors and prognosis of hemorrhagic transformation (HT) in patients with non-embolic cerebral infarction. Methods The clinical data of 16 patients with noninvasive cerebral infarction were retrospectively analyzed. Results The average age of patients was 75.5 years old. Large cerebral infarction (81.2%) was the main cause. Hypertension (75%) and diabetes (50%) had a high incidence. Conclusion HT of non-embolic cerebral infarction often occurs in elderly and large-area cerebral infarction. Hypertension and diabetes mellitus are the important etiological factors. Most of them are late-onset hemorrhage with good prognosis.