出血性脑梗死51例临床分析

Clinical study on hemorrhagic infarction of 51 cases

目的探讨出血性脑梗死(hemorrhagic infarction HI)的发病机制,病因,认识出血量与预后的关系。方法对51例HI患者进行CT动态观察,DSA及脑脊液检查,并与同期大面积非出血性脑梗死(NHI)患者作对照,两组患者均在病初及第4周进行临床神经功能缺损程度评分。结果HI多发于心源性脑栓塞患者,血肿型死亡率高,存活的HI患者临床神经功能缺损程度评分明显低于NHI组。结论HI预后与出血量有关,治疗时要防止其发生。

Objective： To study the pathogenesis and aetiology of hemorrhagic infarction and to understand the relationship between prognosis and hemorrhagic quantity. Methods： Fifty-one patients were dynamically observed by CT, DSA and CSF, the results were compared with the large zone non-hemorrhagic infarction at the same period, and the loss of the nervous function of the patients in two teams was scored at beginning and the 4th week. Results ： Hemorrhagic infarction always came from cardic cerebral infarction, the rate of death in hemorrhagic was high. The living hemorrhagic infarction patients scores on the loss of nervous function were lower than those of the NHI. Conclusion： The prognosis of HI is related with hemorrhagic quantity, and during the treatment, attention should be paid to avoiding its occurrence.