脑梗塞患者中医辨证与CT扫描关系探讨

Relation between the syndrome differentiation of cerebral infarction Patient and CT scanning

通过对64例脑梗塞患者中医辨证与CT扫描结果的对比发现:CT扫描显示病灶的大小、数目等与中医辨证之间存在一定的内在联系,临床上可以相互参考。但要注意不能机械对照简单等同。

The examination retults of CT of 64 Cases of cerebral infarction were compared with Differetial Diagnosication of TCM.Some results came from this comparing. 1.A lot of cases were Apopelexy Involving the Channels and Collaterals in Differential Diagnosication of TCM(92.2%)and the Patient′s condition was light in general. 2.The range of nidi showed fasciola in Apopelexy Involving the Channels and Collaterals(41/59)but showed massive in Apopelexy Involving viscera(4/ 5).Analysing all these cases,we knew that the hyperactivity of the liver- yang and fire and wind stirring up each other were large nidi mainly(12/16) and the others were small nidi mainly. 3.About the numbers oe nidi:The nidi of Apopelexy Involving the Chan- nels and Colloterals were solitary(45/59)except for hyperactivity of the liver- yang and wind stirring due to Yin deficiency,but ones of Apopelexy Involving Viscera were multiplex.Two were multiple nidi and three were single nidas in five cases of Apopelxy Involving the Viscera. 4.About the locality of nidi:The nidi of Apopelexy Involving the Chann- els and Collaterals were basal ganglion(25/59)and lobar(27/59)mainly,but the nidi of Apopelexy Involving Cisceva were basal ganglion and brain stem all. The result indicated that the ran(?)e,number and locality of nidi showed by CT were connected With Differential Diagnosication of TCM and can be refered to in clinic,but Please note don′t compare simply.