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多发性梗塞性痴呆(MID)是常见的血管性痴呆。现对我院经磁共振成象(MRI)及CT诊断的多发性脑梗塞中26例MID和40例疑痴呆资料进行了分析。临床资料 66例中男53例,女13例,年龄50～84岁。患者均在意识清醒状态下采用日本长谷川痴呆量表测验,15分以下为痴呆。本组中有高血压、动脉硬化史58例,冠心病史36例,脑卒中史36例,糖尿病史13例。其中急性起病54例,亚急性起病10例,慢性起病2例。本组病例均有不同程度的智力减退,头痛、头晕者55例,言语欠流利者22例,假性球麻痹者30例,精神不安者28例,强哭强笑者33例,尿失禁者15例,肢体麻木者48例,肢体瘫痪者48例,锥体束征
Multiple infarct dementia (MID) is a common vascular dementia. Now in our hospital by magnetic resonance imaging (MRI) and CT diagnosis of multiple cerebral infarction in 26 cases of MID and 40 cases of suspected dementia data were analyzed. Clinical data of 66 cases, 53 males and 13 females, aged 50 to 84 years. Patients were consciously used in Japan Hasegawa dementia scale test, 15 points or less for dementia. This group has hypertension, 58 cases of atherosclerosis, coronary heart disease history of 36 cases, 36 cases of stroke history, history of diabetes in 13 cases. Including 54 cases of acute onset, subacute onset in 10 cases, 2 cases of chronic onset. This group of patients have varying degrees of mental retardation, headache, dizziness in 55 cases, speech owers 22 cases, pseudobulbar palsy in 30 cases, 28 cases of unease in the spirit, crying strong laughter in 33 cases, urinary incontinence 15 cases, 48 cases of limb numbness, limb paralysis in 48 cases, pyramidal tract signs