摘要
目的探讨腔隙性脑梗死临床特点及治疗。方法对2001年－2005年头颅CT或MRI证实的120例腔隙性脑梗死患者作回顾性分析。结果120例患者有高血压106例（88．3％），糖尿病98例（81．7％），冠心病85例（70．8％），高脂血症99例（82．5％），烟酒嗜好72例（60％）。临床表现：本组120例除1例昏迷入院外，其余均无意识障碍。首发症状为头晕、单侧肢体轻偏瘫或双侧肢体轻瘫60例；以头晕，偏身麻木为首发症状32例；合并不完全失语者8例；仅以头晕为首发症状而无肢体运动障碍和感觉障碍者9例；无任何症状者20例；1例大面积脑梗死。病灶基底节区最多见（90例）。结论MRI诊断腔隙性脑梗死明显优于CT，治疗高血压、糖尿病、高脂血症、冠心病是防治本病的关键。
Objective Clinical features of lacunar infarction and treatment. Methods From 2001 to 2005 head CT or MRI confirmed 120 cases of lacunar infarction were retrospectively analyzed. Results 120 patients with hypertension in 106 patients （ 88.3% ）, diabetes 98 eases （81.7%）, coronary heart disease 85 cases （70. 8% ）, hyperlipemia 99 cases （82. 5% ）, alcohol and tobacco addiction in 72 cases （60% ）. Clinical performance： 120 cases in this group except one case of coma, the remaining obstacles were unconscious. Initial symptoms were diz- ziness, unilateral or bilateral limb paralysis and hemiparesis light of 60 eases ; to dizziness, numbness of the first symptom of partial body 32 cases ; accompanied by incomplete aphasia in 8 cases ; only initial symptom of dizziness without limb movement disorder and sensory disabilities 9 cases; without any symptoms in 20 cases; one case of massive cerebral infarction. The most common basal ganglia lesions（ 90 cases）. Conclusion MRI diagnosis of lacunar infarction is superior to CT, treatment of hypertension, diabetes, hyperlipidemia, coronary heart disease is the key to combating this disease.
出处
《中外医学研究》
2010年第11期8-9,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腔隙性脑梗死
临床分析
Lacunar infarction
Clinical analysis
