腔隙性脑梗塞50例临床分析

Clinical Analysis on Lacunar Infarction of 50 cases

目的:探讨腔隙性脑梗塞病因、临床表现、影像学改变、鉴别诊断及预后。方法:收集我院近几年来50例经CT及MRI证实有腔隙性脑梗塞的患者临床资料进行回顾性分析。结果:患者男性多于女性,以基底节区部位为主,双侧病灶多见,临床表现形式多样,易患因素为高血压、糖尿病、心脏病、过度劳累、脱水等。结论:经CT证实出血性腔隙综合征,避免误诊误治。以预防复发为主,对可干预的危险因素进行治疗,一般预后良好。

Objective:To discuss lacunar infarction etiology,clinical performance,image changes,differential diagnosis and prognosis.Method: I collected 50 cases of hospital in recent years by CT and MRI confirmed the lacunar infarction in patients with clinical data reviewed. Results:The patients are men more than women,mainly in parts of basal ganglia,bilateral lesions. Most of clinical manifestations of diverse,risk factors for hypertension,diabetes,heart disease,excessive fatigue,dehydration,and so on.Conclusion: CT confirmed the conclusions of haemorrhagic lacunar syndrome,to avoid misdiagnosis. Mainly to prevent recurrence of the risk factors can interfere with treatment,the general prognosis is good.