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卒中患者脑微出血的临床及影像学研究 被引量：1

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摘要 目的探讨脑卒中患者脑微出血（CMBs）的临床特点及其影像学特征。方法对32例存在CMBs卒中患者的临床资料及影像学特点进行分析。结果32例患者伴陈旧性腔隙性梗死灶（2．1±1．5）个，白质疏松评分（4．9±2．9）分，画钟试验评分（1．7±1．2）分。出血性卒中9例，CMBs灶（5．7±4．8）个，缺血性卒中23例，CMBs（2．9±2．4）个，组间CMBs数目比较差并有统计学意义（U=55．000，P=0．037）。共检出CMBs118．0个，基底节丘脑区最多为54．0个，其次是皮质-皮质下区44．0个，幕下区最少为20．0个，区域分布差异无统计学意义（χ^2=4．289，P=0．168）。CMBs数目与腔隙性梗死灶数目及白质疏松程度正相关（r=0．276，P=0．014；r=0．431，P〈0．001）。cMBs在磁共振梯度回波T2加权成像上表现为直径2—10mm的圆形或椭圆形信号丢失区域。结论CMBs患者多伴高龄、高血压及执行功能的下降，与腔隙性梗死及白质疏松程度有相关性；GE-T2WI能较好地检出CMBs的存在，有助于评估卒中患者的病变特征及指导下一步治疗。
作者 杨松 周志明 叶新春 洪震 朱慧敏 翟其金 刘新峰 徐格林
机构地区 南京大学医学院临床学院南京军区南京总医院神经内科
出处 《中国综合临床》 2010年第1期6-8,共3页 Clinical Medicine of China
基金 江苏省自然科学基金资助项目（BK2008324）
关键词 脑微出血 卒中 梯度回波 画钟测验
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献8

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同被引文献11

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中国综合临床
2010年 第1期

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