47例出血性脑梗死临床分析

Clinical Analysis of 47 Cases of Hemorrhagic Infarction

目的:探讨出血性脑梗死患者的病因、发病机制、临床特点及其预后。方法:回顾性分析47例出血性脑梗死患者的临床资料。结果:出血性脑梗死的发生率为2.17%,脑梗死后出血与大面积梗死、皮层梗死、合并心房纤颤、高血压、高血糖和既往脑卒中病史有关。结论:对大面积梗死、皮层梗死、合并心房纤颤、高血压、高血糖的患者宜密切动态观察,注意梗死后出血的可能。出血性脑梗死是影响患者生存的严重并发症,应动态CT观察,及时诊治可改善预后。

Objective： To investigate the hemorrhagic infarction etiology, pathogenesis, clinical features and prognosis. Methods：A retrospective analysis of 47 cases of hemorrhagic infarction in patients with clinical data. Results： Hemor- rhagic infarction incidence rate was 2.17%, with the large area of infarction, cortical infarction, complicated with atrial fibrillation, hypertension, hyperglycemia and previous stroke history. Conclusion： In large area of infarction, cortical in- farction,and atrial fibrillation, hypertension, hyperglycemia in patients should be closely observed dynamics, attention to the possibility of hemorrhage after infarction. Hemorrhagic infarction is a serious complication affecting survival, should be a dynamic CT observation, timely diagnosis and treatment may improve the prognosis.