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目的 :探讨糖尿病脑梗死的CT特点。方法 :对 3 0例糖尿病脑梗死与 3 0例非糖尿病脑梗塞的临床表现、CT特点进行比较。结果 :3 0例糖尿病梗死中有 2 6例腔隙性脑梗死 ,其中 2 1例为多发性梗死病灶 ,病灶数目总共 12 4个 ,平均 4 8,3 0例非糖尿病有 15例腔隙性脑梗死 ,其中 6例为多发性梗死病性 ,病灶数目总共 43个 ,平均 2 8,两组有显著差异 (P <0 0 5 ) ,两组的临床表现及其它CT特点基本一致 ,无差异性。结论 :糖尿病脑梗死以多发性腔隙梗死为主要特点 ,但与非糖尿病梗死的临床表现、病灶好发部位无本质区别。
Objective: To investigate the CT features of diabetic cerebral infarction. Methods: The clinical features and CT features of 30 cases of diabetic cerebral infarction and 30 cases of non-diabetic cerebral infarction were compared. RESULTS: Twenty-six cases of lacunar infarction were found in 30 diabetic patients, of which 21 were multiple infarct lesions, and the total number of lesions was 124, with an average of 48,300 non-diabetic lacunar There were 6 cases with multiple infarcts, the total number of lesions was 43 (average 28), with significant difference between the two groups (P <0.05). The clinical manifestations and other CT features of the two groups were basically the same with no difference Sex. Conclusions: Multiple cerebral infarction is the main characteristic of diabetic cerebral infarction. However, there is no essential difference between the clinical manifestations of non-diabetic infarction and the predilection sites.