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目的探讨混合性脑卒中的病因,寻求混合性脑卒中较佳的治疗方法,以提高对混合性脑卒中的认识。方法对40例混合性脑卒中患者的临床资料进行回顾性分析,所有病例均经头颅CT或MRI证实。结果在同期的脑卒中病例中,混合型脑卒中占8.5%(40/470),出血-梗死型21例,梗死-出血型16例,血管畸形出血合并梗死型1例,蛛网膜下腔出血合并梗死型2例。治疗以中性疗法为主,血管畸形出血合并梗死1例于病情稳定后采用介入治疗。结果好转35例,4例无好转自动出院,1例死亡。结论混合性脑卒中临床表现复杂,具有多样性,且病情多较重,应当引起高度重视。诊疗时应当密切观察患者的症状体征以及影像学表现,多采取中性治疗。
Objective To investigate the etiopathogenesis of mixed stroke and to find a better treatment for mixed stroke in order to improve the understanding of mixed stroke. Methods The clinical data of 40 patients with mixed stroke were retrospectively analyzed. All cases were confirmed by CT or MRI. Results In the same period of stroke cases, mixed stroke accounted for 8.5% (40/470), hemorrhage - infarction 21 cases, infarction - hemorrhage 16 cases, vascular malformation hemorrhage with infarction 1 case, subarachnoid hemorrhage Merged infarction in 2 cases. Treatment of neutral therapy, vascular malformations combined with infarction in 1 case of stable disease after interventional therapy. The results improved in 35 cases, 4 patients were discharged without improvement, 1 patient died. Conclusions The clinical manifestations of mixed stroke are complex, diverse and more serious, which deserves our attention. Clinicians should be closely observed when the symptoms and signs and imaging findings, to take more neutral treatment.