摘要
【目的】探讨出血性脑梗死的临床特点及发生机制。【方法】回顾分析42例出血性脑梗死患者的发病时间、CT特征及临床表现特点。【结果】出血性脑梗死多发生于大面积脑梗死,且大多(71.4%)在脑梗死2周內发生出血。45.2%的病人表现为原有症状恶化。【结论】大面积脑梗死起病2周内均应复查头颅CT,当脑梗死症状恶化时应高度怀疑出血性脑梗死的发生,根据病情变化及时调整治疗方案,方可降低病死率并改善预后。
[Objective]To investigate the clinical characters and pathogenesis of hemorrhagic cerebral infarction patients, [Methods]The onset time , CT data, clinical presentations of 42 cases with hemorrhagic cerebral infarction were retrospectively analysed, [Results]Hemorrhagic cerebral infarction ofter existed in larger sizes cerebral infarction, and occurred two weeks after cerebral infarction（71.4 %） 45.2 % cases of hemorrhagic cerebral infarction had clinical symptom deteriorated, [Conclusion]Larger sizes cerebral infarction patients should be rexamined with CT in each week for two weeks. Hemorrhagic cerebral infarction should be suspected,when clinical symptoms worsen. We ought to adjust therapeutic program basing on clinical symptom change in order to decrease mortality and improve prognosis.
出处
《医学临床研究》
CAS
2005年第11期1517-1519,共3页
Journal of Clinical Research
作者简介
储新娟（1970-）,女,上海市人,主治医师,主要从事神经内科的临床工作.
