本文报告经 CT证实的混合性脑卒中 37例 ,高血压、动脉硬化为其主要病因 ,60岁以上老年多见 ,典型者临床表现为两处不相关的神经定位体征。脑 CT扫描多显示不同血管分布区的新近出血和梗塞灶。脑出血并脑梗塞同时发生 2 4例 ( 64.8% ) ,脑出血后发生脑梗塞 9例 ( 2 4 .3% ) ,脑梗塞后发生脑出血 4例 ( 10 .8% )。脑 CT扫描有决定性诊断价值。早期中性治疗效果好 This article reports 37 cases of mixed stroke confirmed by CT. Hypertension and arteriosclerosis are the main etiologies. More than 60 years of age and older are common. The typical clinical manifestations are two unrelated neurological locating signs. More brain CT scan showed different vascular distribution of new hemorrhage and infarction. There were 24 cases (64.8%) of cerebral hemorrhage and cerebral infarction, 9 cases (24.3%) of cerebral infarction after cerebral hemorrhage, and 4 cases (10.8%) of cerebral hemorrhage after cerebral infarction. Brain CT scan has a decisive diagnostic value. Early neutral treatment is effective