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对79例经CT证实为腔隙性脑梗塞的老年病人(男70例,女9例,年龄60～84岁)进行了临床分析。结果表明,发病以男性多见,合并病以高血压病、高脂血症、高尿酸血症和糖尿病多见;主要症状以半身轻瘫、头晕和(或)头痛及言语障碍多见;主要体征以掌颏反射阳性、一侧肢体肌力Ⅳ～Ⅴ~-级多见。CT特点:病灶多位于内囊及基底节区、大脑半球白质、丘脑及侧脑室旁;双侧病灶者较多,说明有易再发和病灶呈双侧或多发的趋势。及时综合治疗总有效率为88.31%,表明其预后较好。
A total of 79 elderly patients (70 males and 9 females, aged 60-84 years) with lacunar infarction confirmed by CT were analyzed clinically. The results showed that the incidence of more common in men, combined with hypertension, hyperlipidemia, hyperuricemia and diabetes more common; the main symptoms of hemiparesis, dizziness and (or) headache and speech disorders more common; mainly Signs to palm chin reflex positive side of the limb muscle strength Ⅳ ~ Ⅴ ~ - more common. CT features: lesions are located in the internal capsule and basal ganglia, the white matter of the hemisphere, thalamus and lateral ventricle; more bilateral lesions, indicating a recurrence and lesions were prone to bilateral or multiple trends. Timely comprehensive treatment of the total effective rate was 88.31%, indicating that the prognosis is good.