目的探讨进展性脑梗塞临床特征,提高临床医师对进展性脑梗塞的认识。方法对进展性脑梗塞患者的临床表现、颅脑CT进行分析。结果进展性脑梗塞早期溶栓疗效显著;早期颅脑CT可为阴性。结论对可疑进展性脑梗塞病人,早期颅脑CT易漏诊,应注意观察病情变化和追综观察颅脑CT的变化,尽早给予溶栓治疗,以阻断和减轻脑梗塞病灶扩大,防治后遗症状、体征进一步发生,提高患者的生活质量。 Objective To explore the clinical features of progressive cerebral infarction and improve clinicians’ understanding of progressive cerebral infarction. Methods Clinical manifestations of patients with progressive cerebral infarction, brain CT analysis. Results Early thrombolytic therapy in patients with advanced cerebral infarction significantly; early brain CT may be negative. Conclusions For patients with suspected progressive cerebral infarction, early CT scan is easy to be missed. The changes of CT scan and brain CT changes should be observed. Thrombolytic therapy should be given as soon as possible to block and relieve the enlargement of cerebral infarction, , Further signs, improve the quality of life of patients.