杨军 周敬华

    摘要：急性缺血性脑卒中(AIS)是最常见的脑卒中类型，我国的发病率位居世界第一。出血转化是其致命的并发症之一，可导致预后不良甚至死亡。尽早识别出血转化的危险因素可在一定程度上降低其发生率和严重程度。本文就预测脑卒中后出血转化出现的血生化标志物以及神经影像学指征进行综述，以期为临床早期判断和预防提供参考。

    关键词：急性缺血性脑卒中；出血转化；血生化；影像学；预测因素

    中图分类号：R743.3? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文献标识码：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2024.12.042

    文章编号：1006-1959(2024)12-0183-06

    Research Progress on Blood Biochemistry and Imaging Predictors of Hemorrhage Transformation

    in Acute Ischemic Stroke

    Abstract：Acute ischemic stroke (AIS) is the most common type of stroke， and the incidence in China ranks first in the world. Hemorrhagic transformation is one of its fatal complications， which can lead to poor prognosis and even death. Early identification of risk factors for hemorrhagic transformation can reduce its incidence and severity to a certain extent. This article reviews the blood biochemical markers and neuroimaging indications for predicting hemorrhagic transformation after stroke， in order to provide reference for early clinical judgment and prevention.

    Key words：Acute ischemic stroke;Hemorrhagic transformation;Blood biochemistry;Imaging;Predictor ......