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目的:通过探讨出血性脑梗死的CT影像学表现与临床特点,提高对本病的认识。方法:回顾分析110例经手术或临床证实了出血性脑梗死患者的CT影像学及临床表现。结果:缺血性脑梗死继发出血转变多发生于起病4d至2周,CT表现为低密度梗死区内散在斑片状、团块状、脑回状高密度影,以非血肿型占多数(67.27%),预后主要取决于梗死的范围、并发症与合并症及患者的年龄等因素。结论:CT检查能及时发现,明确出血部位及范围,是诊断出血性脑梗死首选和重要的检查方法。
Objective: To explore the clinical manifestations and clinical features of hemorrhagic cerebral infarction to improve the understanding of this disease. Methods: A retrospective analysis of 110 cases of surgically or clinically confirmed hemorrhagic cerebral infarction in patients with CT imaging and clinical manifestations. Results: Hemorrhage secondary to ischemic cerebral infarction occurred mostly in 4d to 2 weeks after onset. CT showed low-density infarcted area scattered patchy, massive, retropulsed high density of non-hematoma Most (67.27%), the prognosis mainly depends on the scope of infarction, complications and complications and the patient’s age and other factors. Conclusion: CT examination can be promptly found, clear bleeding location and scope, is the diagnosis of hemorrhagic cerebral infarction is the preferred and important method of examination.