CT对出血性脑梗死的诊断价值

Diagnostic value of CT for cerebral hemorrhagic infarction

目的:提高对出血性脑梗死CT诊断的认识,以准确的影像学诊断指导临床治疗。方法:回顾性分析39例出血性脑梗死的临床特点和CT资料。结果:39例中CT准确诊断36例,另外3例梗死区仅发生少量渗血,MRI明确显示梗死后的出血灶,而CT无明显变化。结论:CT扫描能够较准确的显示脑梗死后的出血发生与否、形态及出血量,是诊断出血性脑梗死的可靠手段,可用于监测脑梗死的治疗转归以及合并出血时的及时诊断。

Objective：To improve the recognition of CT diagnosis of cerebral hemorrhagic infarction for guiding the clinical therapy with the correct imaging diagnosis. Methods： The clinical and CT data in 39 patients with cerebral hemorrhagic infarction were retrospectively analyzed. Results： Of all 39 patients, the cerebral hemorrhagic infarction was correctly diagnosed with CT in 36. In another 3 patients, the bleeding in the infarction was less. The hemorrhage was obviously visualized with MRI,while there was no change on CT. Conclusions：The CT scanning can provide qualified images of cerebral hemorrhagic infarction for the findings and morphology as well as estimate of hemorrhage. CT is reliable for diagnosis of cerebral hemorrhagic infarction, and furthermore, it can provide the valuable observation for the follow-up of cerebral infarction and an early diagnosis for the hemorrhagic infarction in the infarction region.