出血性脑梗塞18例临床分析

Hemorrhagic Cerebral Infarcts

本文报告１８例经ＣＴ证实的出血性脑梗塞，其发病机制是闭塞的血管发生坏变，当血流再灌注时可导致出血。其临床诊断有时比较困难，既往需尸检才能确诊，ＣＴ是临床诊断最可靠方法，对脑梗塞患者做动态的ＣＴ检查，有助于及时发现出血性脑梗塞。用扩容和扩血管药物治疗时要注意出血性梗塞的可能性。

Eighteen patients with hemorrhagic cerebral infarct demonstrated by CT were reported. The pathogenesis is due to that the necrosis occurred in occlusive vessel itself, which could result in hemorrhage if the local circulation in the area of the recovered infarction,It's clinical diagnosis sometimes is difficul. Before the autopsy helped to make a definite diagnosis. CT is the most reliable method for its clinical diagnosis.To make a continual CT scan examination of patients with cerebral infarct is helpful to timely discovery of hemorrhagic infarct. Otherwise we should pay attention to the possibility of occurring of hemorragic infarction when it's treated with drugs of dilatation blood vessels and drugs of expanding vessel volume.