首页> 中文期刊> 《中国继续医学教育》 >出血性脑梗死临床特点及病因分析

出血性脑梗死临床特点及病因分析

         

摘要

目的:分析出血性脑梗死临床特点及病因。方法选取我院2013年8月~2015年8月出血性脑梗死患者50例为研究对象,观察出血性脑梗死的病因及临床特点。结果出血性脑梗死发病率占同期脑梗死的5.8%。其病因发生率从高到低依次为:心源性脑栓塞,大面积动脉粥样硬化性脑梗死,抗凝和溶栓,高血压未控制,血糖高。出血性脑梗死临床特点,部分病人原有梗死症状无加重,仅复查 CT 发现,部分病人原有症状加重。结论出血性脑梗死的主要病因为心源性脑栓塞,CT 特点为梗死区内斑片状或团块状高密度影。%Objective To analyze the clinical features and causes of hemorrhagic infarction. Methods 50 cases of hemorrhagic infarction in our hospital from August 2013 to August 2015 were selected as the research object, and the causes and clinical features of hemorrhagic cerebral infarction were observed. Results The incidence of hemorrhagic infarction accounted for 5.8% of cerebral infarction. The cause of the disease is from high to low in turn: cardiac cerebral embolism, large area of atherosclerotic cerebral infarction, anticoagulation and thrombolysis, high blood pressure, high blood glucose. The clinical features of hemorrhagic infarction, some patients with no increase in the original infarction symptoms, only to review the CT findings, some original symptoms increased. Conclusion The main cause of hemorrhagic infarction is the cardiac cerebral embolism, and the CT is characterized by high density in the infarct area.

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