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目的探讨丘脑５条动脉供血区梗塞的不同临床特点。方法将６７例丘脑梗塞按５个动脉供血区，建立ＣＴ图像模板，通过解剖、ＣＴ与临床表现进行对照研究。结果（１）丘脑膝状体动脉（ＧＴＡ）供血区梗塞以主、客观感觉障碍为主。（２）丘脑结节动脉（ＴＴＡ）供血区梗塞最突出的表现为语言障碍（左侧）及偏侧忽视（右侧）。（３）丘脑穿通动脉（ＰＰ）供血区梗塞多为嗜睡、短暂意识障碍、丘脑性痴呆、虚构及垂直性眼球运动障碍等。（４）后脉络膜动脉（ＰｃｈＡ）供血区表现为象限盲。（５）前脉络膜动脉（ＡｃｈＡ）供血区表现轻偏瘫与偏身感觉障碍。结论丘脑不同动脉供血区各具有其特征性临床症候群。
Objective To explore the different clinical features of infarction in thalamic 5 arteries. Methods Sixty - seven patients with thalamic infarction were divided into five arteries to establish a CT image template. The anatomic, CT and clinical manifestations were compared. Results (1) Thalamic geniculate artery (GTA) infarction was dominated by the main objective obstruction. (2) The most prominent manifestations of infarction in the thalamic nodular artery (TTA) supply area are speech impairment (left) and partial neglect (right). (3) Thalamic artery (PP) infarction in the blood supply area is mostly lethargy, transient disturbance of consciousness, thalamic dementia, fictional and vertical eye movement disorders. (4) The posterior choroidal artery (PchA) blood supply area showed a quadrant blindness. (5) Anterior choroidal artery (AchA) blood supply area showed hemiparesis and partial sensory dysfunction. Conclusion The thalamic different arterial blood supply areas have their own characteristic clinical syndromes.