无症状性脑梗死50例临床分析

Analysis of 50 cases asymptomatic cerebral infarction

目的探讨无症状性脑梗死的早期发现、早期预防对减低脑梗死率的意义。方法对易发脑梗死的中老年高危人群要定期进行体检,可有效的发现脑梗死的一些早期征象。结果本组50例均在进行头颅CT检查时发现无症状梗死灶共72个。其中1个梗死灶6例(12.0%),2个梗死灶13例(26.0%),多个梗死灶31例(62.0%)。结论无症状性脑梗死患者易造成临床的漏诊误诊,高血压、冠心病、高血脂、糖尿病等是无症状性脑梗死的危险因素。只要影像学检查发现脑梗死,无论有无症状,均要积极治疗,预防和延缓脑梗死的再发生。

Objective To explore the significance of the early detection and prevention of asymptomatic cerebral infarction. Methods Some early signs of cerebral infarction can effectively be found by periodic medical examinations in elderly high-risk groups with prone of cerebral infarction. Results The heads of 50 cases were detected with CT examination and 72 asympto- matic cerebral infarction locals were found. There were 6 cases （12.0%） with a single focal, 13 cases （26.0%） with two focals and more than 31 cases （62.0%） with more locals. Conclusion It is difficult for the diagnosis of asymptomatic cerebral infarc- tion. Hypertension, coronary heart disease, high blood lipids, diabetes are risk factors of asymptomatic cerebral infarction. When cerebral infarction is revealed with or without symptoms, it is necessary to take action to prevent and delay the recurrence of cerebral infarction.