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本文分析了经头颅CT确诊的32例混合性中风病人的临床资料,并就此病的定义、发病机理、临床表现、实验室和特殊检查及治疗进行了讨论。认为对具有2个以上部位病变的体征,难以定位,或者短期内病情、症状和体征发生变化,或者怀疑脑出血和脑梗塞都有可能的急性脑血管病病人,都应警惕有混合性中风之可能。应及时行头颅CT检查,以便尽早确诊和治疗;如无条件,最佳治疗方案应是先行中性治疗。
This article analyzes the clinical data of 32 patients with mixed stroke diagnosed by head CT and discusses the definition, pathogenesis, clinical manifestations, laboratory and special examination and treatment of the disease. Patients with acute cerebrovascular disease who are considered to have signs of lesion at more than two sites and are difficult to locate or whose conditions, symptoms and signs have changed in the short term, or who are suspected of having cerebral hemorrhage and cerebral infarction should be warned of mixed stroke may. Head CT scan should be promptly carried out in order to diagnose and treat as soon as possible; if unconditional, the best treatment should be the first neutral treatment.