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目的 :研究大面积脑梗死的超早期诊断。方法 :回顾性分析 46例大面积脑梗死和 46例非大面积脑梗死病人的超早期临床表现和OCSP(OxfordshireCommunityStrokeProject)分型以及CT特点。结果 :大面积脑梗死病人的超早期意识障碍 18例、眼球同向凝视 18例。头部CT有异常改变 3 0例 ,OCSP分型大面积脑梗死组以TACI型为主占 80 %。结论 :将脑梗死的头部CT改变、眼球同向凝视、OCSP分型为TACI(totalanteriorciculationinfarction)型等三个方面相结合可超早期诊断大面积脑梗死
Objective: To study the ultra-early diagnosis of large area cerebral infarction. Methods: The clinical features, OCS (Oxfordshire Community Stroke Project) classification and CT features were retrospectively analyzed in 46 cases of large area cerebral infarction and 46 cases of non-large area cerebral infarction. Results: In 18 patients with large area cerebral infarction, there were 18 cases of ultra-early-stage disturbance of consciousness and 18 cases of same-direction gaze. Head CT abnormal changes 30 cases, OCSP type large cerebral infarction group TACI type accounted for 80%. Conclusion: The combination of CT changes of cerebral infarction, co-eye gaze and OCSP classification of TACI (totalanteriorciculationinfarction) can diagnose large area cerebral infarction