以往关于复发性脑卒中研究中很少涉及腔隙梗塞的局部解剖和发病机制。本文对首发腔隙梗塞的患者进行了平均48个月的随访,并对其中复发卒中的患者进行了详细临床检查,包括大动脉病变和心源性栓塞的检测,常规和增强CT、MRI扫描以推测复发卒中的发病机制。 对象和方法 1989～1992年共选择首次卒中表现为腔隙综合征的连续81例患者,男51例,女30例,平 Previous studies on recurrent stroke rarely involved the local anatomy and pathogenesis of lacunar infarction. In this paper, patients with lacunar infarction were followed up for an average of 48 months, and detailed clinical examination was performed in patients with recurrent stroke, including the detection of aortic lesions and cardioembolism. Conventional and enhanced CT and MRI scans were used to estimate Pathogenesis of recurrent stroke. Subjects and methods A total of 81 consecutive patients with lacunar syndrome were selected for the first stroke from 1989 to 1992. There were 51 males and 30 females,