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目的分析出血性脑梗死的临床特点及特征性影像学所见。方法对5年间收治的20例出血性脑梗死患者,详细观察临床特点,并多次复查CT,必要时行增强扫描。结果在治疗中出现临床症状加重(头痛、呕吐、偏瘫加重及意识障碍加深等),应及时复查CT,明确出血性脑梗死的诊断,其CT表现以不规则出血型改变为主。结论心源性脑梗死与本病有密切关系。本文还参考文献简要讨论该病的发病机制。
Objective To analyze the clinical features and characteristics of hemorrhagic cerebral infarction. Methods Twenty patients with hemorrhagic cerebral infarction who were treated in 5 years were observed the clinical features in detail, CT was reviewed many times, and enhanced scanning was performed if necessary. Results in the treatment of clinical symptoms (headache, vomiting, aggravated hemiplegia and aggravating consciousness, etc.), CT should be promptly reviewed, clear hemorrhagic cerebral infarction diagnosis, the CT manifestations of irregular hemorrhagic change-based. Conclusion Cardiac infarction is closely related to this disease. This article also references a brief discussion of the pathogenesis of the disease.