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目的探究分析以精神症状为首发和突出表现的急性脑梗死患者的临床诊断、治疗方法及其临床特点。方法选取2012年7月~2015年6月我院收治的急性脑梗死患者86例作为研究对象,对这些患者采用MR诊断的相关资料及其临床特点进行回顾分析。结果所有患者经MR检查后可确诊,精神症状依次为遗忘综合征、情感障碍、意识模糊、智能损害、幻想症等,经过药物治疗,患者精神状态明显改善74例,精神状态有所改善12例。结论以精神症状为首发和突出表现的急性脑梗死发病率较低,在其表现不明显的情况下很容易引起误诊,采用MR有较好的诊断准确率,总体治疗疗效较好。
Objective To investigate and analyze the clinical diagnosis, treatment and clinical features of patients with acute cerebral infarction with psychiatric symptoms as the first and outstanding manifestation. Methods Totally 86 acute cerebral infarction patients admitted in our hospital from July 2012 to June 2015 were selected as the research objects. The related information and clinical features of these patients were retrospectively analyzed. Results All patients were diagnosed by MR examination. The symptoms of psychosis were forgotten syndrome, affective disorder, confusion, intellectual impairment, fantasy, etc. After medication, the mental status of the patients was significantly improved in 74 cases and the mental status was improved in 12 cases . Conclusions The incidence of acute cerebral infarction with mental symptoms as the first and the most prominent manifestation is low. Misdiagnosis may be easily caused when the manifestations are not obvious. MR has a better diagnostic accuracy and the overall curative effect is better.