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¡¡¡¡[2] Sennf?lt S,Norrving B,Petersson J,et al.Long-Term Survival and Function After Stroke[J].Stroke,2019,50:53¡«61.
¡¡¡¡[3] Yun B J,Borczuk P,Zachrison K S,et al.Utilization of head CT during injury visits to United States emergency departments:2012—2015[J].Am J Emerg Med,2018,36(8):1463¡«1466.
¡¡¡¡[4] Bai Q K,Zhao Z G,Lu L J,et al.Treating ischaemic stroke with intravenous tPA beyond 4.5 hours under the guidance of a MRI DWI/T2WI mismatch was safe and effective[J].Stroke Vasc Neurol,2019,4(1):8¡«13.
¡¡¡¡[5] Gregson B A,Mitchell P,Mendelow A D.Surgical Decision Making in Brain Hemorrhage[J].Stroke,2019,50:1108¡«1115.
¡¡¡¡[6] ÕÅÀè¾ü,ËæÈð±ó,ÕÔÅÎÅÎ,µÈ.CTÓëMRIÔÚÄÔ¹£ËÀÔçÆÚÕï¶ÏÖеÄÓ¦ÓÃЧ¹û±È½Ï[J].ÖйúCTºÍMRIÔÓÖ¾,2018,16(5):8¡«10,14.
¡¡¡¡[7] Allkemper T,Tombach B,Schwindt W,et al.Acute and subacute intracerebral hemorrhages:comparison of MR imaging at 1.5 and 3.0 Tinitial experience[J].Radiology,2004,232(3):874¡«881.
¡¡¡¡[8] Mohamed M,Heasly D C,Yagmurlu B,et al.Fluid-attenuated inversion recovery MR imaging and subarachnoid hemorrhage:not a panacea[J].AJNR Am J Neuroradiol,2004,25(4):545¡«550.
¡¡¡¡[9] Fazeel M,Siddiqui,Simon V,et al.Neuroimaging of Hemorrhageand Vascular Defects[J].Neurotherapeutics,2011,8(1):28¡«38.
¡¡¡¡[10] ¹ù¾°ÌÎ,½Òã.ÔçÆÚÄÔ³öѪµÄµÍ³¡MRI·ÖÎö[J].ʵÓ÷ÅÉäѧÔÓÖ¾,2010,26(1):14¡«16.
¡¡¡¡[11]Nighoghossian N,Hermier,Madeleine P.Old microbleeds are a potential risk factor for cerebral bleeding after ischemicstroke:a gradient-echo T2weighted brain MRI study[J].Stroke,2002,33(3):735¡«742.
¡¡¡¡[12]¾£Ñåƽ,ÕÅ¿¡,¸ßá¿áÉ,µÈ.²»Í¬ÆÚ±ðÄÔ³öѪMRIÕï¶Ï¼°Ðźű仯Ìصã[J].ÄÔÓëÉñ¾­¼²²¡ÔÓÖ¾,2016,24(6):376¡«381.
¡¡¡¡[13]ÀîÏþËÉ.²»Í¬Ê±ÆÚÄÔ³öѪµÄ´Å¹²ÕñÀ©É¢¼ÓȨ³ÉÏñÐźÅÌص㼰Õï¶ÏÓ¦ÓÃ[J].ÖйúʵÓÃÉñ¾­¼²²¡ÔÓÖ¾,2016,19(15):29¡«31.
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