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本文报道血栓性出血性脑梗塞(HI)38例,占血栓形成的4.2%。血栓性HI的临床症状轻重与发病时间迟早有关,7天内发病重症型为主,7天后以轻症占多数(84.2%)。CT扫描结果血肿型临床症状重,特别在大片状梗塞继发出血者预后差,点斑状型出血临床症状较轻(92.1%)。为了提高出血性脑梗塞的诊断率,对大片状梗塞或脑血栓后病情恶化或持续不缓解者应CT扫描追踪复查。
Thirty-eight cases of thrombotic hemorrhagic cerebral infarction (HI) were reported in this paper, accounting for 4.2% of thrombosis. The clinical symptoms and severity of thrombotic HI were related to the onset of the disease sooner or later. The incidence of severe type was mainly within 7 days and mild to severe after 7 days (84.2%). CT scan results in severe clinical symptoms of hematoma, especially in large platelet infarction secondary hemorrhage poor prognosis, clinical symptoms of spotted hemorrhage lighter (92.1%). In order to improve the diagnostic rate of hemorrhagic cerebral infarction, large-scale infarction or cerebral thrombosis after the disease deteriorating or sustained remission should be CT scan follow-up review.