脑叶梗塞44例临床分析

Clinical analysis of 44 cases of lobar infarct

目的 :分析脑叶梗塞的临床特点 ,辅助检查对其诊断价值及早期治疗的意义。方法 :回顾性分析 44例经 CT或 MRI确诊的脑叶梗塞患者的临床资料及辅助检查特点 ,对其危险因素、临床表现、诊断、治疗进行分析。结果 :脑叶梗塞的临床表现多样 ,主要为偏瘫、言语不清、头痛 ,顶叶、颞叶多发 ,单叶累及较多。脑心综合征发生率高 ,经溶栓、脑保护剂等治疗 ,症状改善 77.2 7% ,无改善 1 1 .36 %。结论 :脑叶梗塞在脑血管病中并不少见 ,临床症状复杂 ,结合 CT、MRI可帮助确诊。积极宣传有关知识和治疗时间窗 。

Objective:To analyze the clinical features of lobar infarct,the diagnostic value of accessory examination,and the importance of early treatment.Method:We retrospectively analyzed the clinical data and the features of accessory examination of 44 cases of lobar infarct,and the diagnosis was confirmed by CT and MRI.We also analyzed the risk factor,clinical manifestations,diagnosis and treatment.Result:The clinical manifestations of lobar infarct were various,including hemiparalysis,lallation and headache.The sickness occurs mainly in the parietal and temporal lobes.It involved largely the simple lobe,the incidence of brain-heart syndrome was high.Through thrombolysis,taking brain protective agent,etc.The patients whose symptoms were improved accounted for 77.27%;the patients whose symptoms were not improved 11.36%.Conclusion:In cerebrovascular diseases lobar infarct is not uncommon.Its clinical symptoms are complicated.Using CT and MRI can help confirm a diagnosis.To give publicity to health knowledge and early treatment is the key to improving the prognosis.