高血压病并发脑梗塞灶的数目和面积与临床的联系

Clinical Correlation between the Number,Size of Cerebral Infarcts and Hypertension

报道115例高血压病患者合并脑梗塞的临床特点。结果提示:高血压的病程,分期与病人年龄和脑梗塞灶数目、面积显著相关。入院时和平时最高血压值也与脑梗灶塞数目或面积显著相关。有或无症状性脑梗塞灶数目、面积各相关之间有显著差别。以基底节区梗塞灶数目最多,侧脑叶区次之。尽管脑梗塞与过去最高血压值密切相关,而入院时即脑梗塞发生的急性期血压最低。因此,血压过高可能有日后发生脑梗塞的趋势,而血压过低则可能是促发脑梗塞最直接的原因之一。

An investigation of 115 patients with hypertensive cerebral infarcts was performed. The results showed that there was a significant relationship between phases of hypertension, the patient's age and number and size of cerebral infarcts. The level of the highest blood pressure on admission was also correlated with the number or size of cerebral infarcts. The nmuber and size of cerebral infarcts were different in patients with or without symptoms. The cerebral infarcts occurred mostly in the basal ganglia and in the lateral brain. The level of blood pressure was lower on admission during acute phase of cerebral infarcts, even if the level of highest blood pressure was correlated with cerebral infarcts. It was concluded that there was 2 cerebral infarct trend in patients with very high blood pressure,and one of the direct cause of cerebral infarcts may be the lowering of blood pressure.