摘要
血管性痴呆分为多发性脑梗死性痴呆、关键部位梗死型痴呆、分水岭梗死痴呆、出血性痴呆及皮层下动脉硬化性脑病等。临床主要表现为语言、记忆、视空间技能、情感、人格和计算力、抽象判断力等认知功能的受损。诊断依据是痴呆、脑血管病的证据及痴呆与脑卒中相关。要与阿尔茨海默病、Pick病、Parkinson病及路易体痴呆相鉴别。
The vascular dementia was divided into multiple cerebral infarction dementia, key parts infarction dementia, watershed cer- ebral infarction dementia, hemorrhagic de- mentia and subcortical atherosclerosis en- cephalopathy, etc. Clinical manifestation was damage of language, memory, space skills, e- motional, personality and computing, abstract judgment and cognitive function. The diag- nosis was based on the evidence of dementi- a, cerebrovasc^dar disease and dementia and related stroke. Vascular dementia distin- guished between alzheimer~ diseaseand Par- kinson disease, Pick disease and Louis body dementia.