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由脑动脉硬化及外源性栓子引起脑主干动脉狭窄、闭塞导致其供血区域大面积梗塞因其发病突然,症候危重,酷似脑出血。现将我院收治的25例大面积梗塞报道如下: 一般资料:男18人,女7人,男:女=2.57:1。发病年龄35—75岁,平均年龄56.2岁。有明确高血压病史者12例(48％)。发病人数占同期脑梗塞住院总人数的8.62％,以冬、春两季发病居多。临床表现:动态发病16人(64％),静态发病9人。首发症状:突然失语伴偏身运动、感觉障碍18例(72％),头痛3例,意识不清2例,面瘫1例,视物不清1例。住院期间,全部25例均不同程度地出现失语、偏瘫及偏身感觉障碍。昏迷8例,双目失明2例,体征中出现视乳头水肿1例,双眼同向凝视5例,单侧病理反射14例,双侧病理反射7例,无病理反射4例,脑膜刺激症4例,太阳穴压迫试验阳性18例。
Caused by cerebral arteriosclerosis and exogenous emboli caused by stenosis of the main cerebral artery occlusion caused by its large area of infarction for its sudden onset of infarction, severe symptoms, resembles cerebral hemorrhage. Now in our hospital treated 25 cases of large infarction reported as follows: General information: 18 males and 7 females, males and females = 2.57: 1. The age of onset 35-75 years old, average age 56.2 years old. A clear history of hypertension in 12 patients (48%). The number of patients accounted for 8.62% of the total number of hospitalized patients with cerebral infarction over the same period, mostly in winter and spring. Clinical manifestations: 16 cases of dynamic onset (64%), static onset of 9 people. The first symptom: sudden aphasia with partial movement, sensory disturbance in 18 cases (72%), headache in 3 cases, 2 cases of confusion, facial paralysis in 1 case, blurred vision in 1 case. During hospitalization, all 25 cases showed varying degrees of aphasia, hemiplegia and partial sensory dysfunction. Coma in 8 cases, binocular blindness in 2 cases, signs of papilledema in 1 case, binocular gaze in 5 cases, unilateral pathological reflex in 14 cases, bilateral pathological reflex in 7 cases, no pathological reflex in 4 cases, meningeal irritation 4 For example, the temple oppression test was positive in 18 cases.