论文部分内容阅读
目的探讨出血性脑梗死(HI)的病因、临床表现、发病机制、治疗及预后。方法对22例出血性脑梗死患者的临床资料进行回顾性分析。结果本组22例患者临床表现为原有症状加重和/或出现新的症状19例,无明显变化的3例,动态头颅CT显示梗死灶内出血,根据患者的临床及影像学表现,分别采取相应的治疗措施,18例患者好转出院,3例自动出院,1例外科手术治疗。结论出血性脑梗死发病机制复杂,梗死后血管损伤和血流再灌注是导致出血性脑梗死的主要原因;其预后主要取决于梗死灶部位、大小、合并症,出血发生早晚、出血类型等,及时治疗,可改善其预后。
Objective To investigate the etiology, clinical manifestation, pathogenesis, treatment and prognosis of hemorrhagic cerebral infarction (HI). Methods The clinical data of 22 patients with hemorrhagic cerebral infarction were retrospectively analyzed. Results The clinical manifestations of 22 patients in this group were 19 cases of exacerbation of symptoms and / or new symptoms, 3 cases of no obvious changes, dynamic head CT showed infarction intracranial hemorrhage, according to the patient’s clinical and radiological findings, respectively, take the corresponding Of the treatment measures, 18 patients improved discharge, 3 patients were discharged automatically, 1 case of surgical treatment. Conclusion The pathogenesis of hemorrhagic cerebral infarction is complicated. The vascular injury and blood flow reperfusion after infarction are the main causes of hemorrhagic cerebral infarction. The prognosis mainly depends on the location, size, Timely treatment can improve its prognosis.