161例脑血管病病灶大小与临床状症及血液流变学之间相互关系的研究

The Relationship between Size of Focus and Clinical Symptoms, Blood Rheology in Cerebrovascular Diseases

本文报告应用头颅CT和血液流变学对脑血管病进行多指标相互间变化规律的探讨。,结果表明:昏迷深、瘫痪重、血液流变学异常度大者,多为大病灶或主干梗塞,反之或血小板聚集性增高明显者多为脑深部小梗塞。研究CT与血液流变学和临床症征之间的关系,有助于判断病变部位、病灶大小及预后转归以及临床治疗。

The correlation of focus size of cerebral infarction and intracerebral hematoma with clinical symptoms and signs and change of blood rheology were studied in 161 patients with cerebrovascular diseases, including 102 cases of cerebral infarction and 59 cases of cerebral hemorrage. There were men and women between 40 and 92 years of age (meaα, 63. 5 years). Sixty percent of them were above the age of sixty. The size of lesions measured by craniacerebral CT was classified into three degree: <10mm^2;11—20mm2i>20mm^2.The change of blood rheology was also classified into three degree mild, moderate and marked. The clinical symptoms and signs included headache, conscious level, palsy degree and pathologic reflexes. The result demonstrated; when patient with deep coma and paralysis and marked change of blood rheology, the greater part of them have larger focus or larger infarcted neck vessels.On the contrary or as the platelet aggregation increase markedly, the greater part of them have a deep cerebral small infarction.