脑梗死的临床分析与研究

Clinical research of cerebral infarction

目的:通过对112例脑梗死的临床特征分析,探讨其预防措施。方法:通过头颅CT或MRI、经颅多普勒(TCD)、颈动脉彩色超声及生化等检查,分析其主要危险因素和发病部位。结果:112例脑梗死患者中,高血压90例,占80%;脑动脉硬化84例,占75%;基底节区多发性腔梗72例,占64%;基本治愈16例,显著进步56例,进步26例,无变化10例,恶化4例。结论:脑梗死是中老年人的多发病,有复发率、致残率高,治愈率低的特点,也是可以预防的疾病,各级医院应形成网络化服务,做好防治工作。

Objective：To investigate preventive measures by analysis of clinical features of 112 cerebral infarction cases. Methods：Loci and risk factors of cerebral infarction were studied through brain CT or MRI,TCD,carotid artery ultrasound and biochemical examination. Results：112 cerebral infarction cases, there were 90 persons with hypertension（80%）, 84 of which with cerebral atherosclerosis（75%） and 72 with multiple lacunar infarction of basilar area（64%） after treatment; 16 patients were cured, 56 patients were improved significantly, 6 patients were improved 10 were without change and 4 deteriorated. Conclusion：Infarction is the most common disease in the middle aged and the old aged persons with high recurrence disability and low cure rate. But it can also be intervened, community medical services should be formed to do the work of prevention and cure well.