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目的 分析老年脑梗死患者并假性球麻痹的临床表现、影像学特征及预后。方法 对 38例因脑梗死并假性球麻痹 (PseudoBP)的老年患者进行回顾性分析。结果 有 12例患者既往无脑梗死病史 ,其中 5例以肺部感染为首发症状入院。 38例患者中 2 7例为完全性假性球麻痹 ,11例为不完全性假性球麻痹 ;主要临床表现为吞咽困难、饮水呛咳、构音障碍等 ;脑梗死部位多见于双侧基底节、放射冠、内囊以及脑桥等处。结论 老年患者基础疾病多 ,免疫力低下 ,并PseudoBP时易发生吸入性肺炎 ,预后较差
Objective To analyze the clinical manifestations, imaging features and prognosis of elderly patients with cerebral infarction and pseudobulbar palsy. Methods Thirty-eight elderly patients with cerebral infarction and pseudobulbar palsy (PseudoBP) were retrospectively analyzed. Results There were 12 patients with no previous history of cerebral infarction, of which 5 were admitted with pulmonary infection as the first symptom. Among the 38 patients, 27 cases were complete pseudopulmonary palsy and 11 cases were incomplete pseudobulbar palsy. The main clinical manifestations were dysphagia, choking drinking water and dysarthria. The cerebral infarction was more common in bilateral basal Festival, the crown of radiation, internal capsule and pons and other places. Conclusion The elderly patients with more underlying diseases, low immunity, and PseudoBP prone to aspiration pneumonia, the prognosis is poor