CT诊断腔隙性脑梗死124例临床分析

Clinical Analysis of Cerebral Lacunar Infarction Diagnosed with CT-Report of 124 cases

目的 观察、探讨腔隙性脑梗死的好发部位、临床特点及诱发因素。方法 对经CT诊断的 12 4例腔隙性脑梗死临床资料进行回顾性分析。结果 腔隙性脑梗死病灶多位于基底节、内囊、放射冠、侧脑室外侧 ,且纯运动或并感觉障碍的梗死面积较大 ;随着年龄增长有增加趋势 ,男性高于女性 ,高血压、动脉粥样硬化、高血糖、冠心病、高血脂、高血粘度的发生率远高于一般人群。结论 腔隙性脑梗死的高危因素有 :5 0岁以上年龄人群 (其中 ,男性 >女性 )、高血压、动脉粥样硬化、糖尿病、冠心病、脂代谢异常及高血粘度。要达到预防腔隙性脑梗死 。

Objective To discuss the predilection site, clin ical character and ind ucing factors of cerebral lacunar infarction (CLI). Methods The clinical data o f 124 cases of CLI patient were analyzed retrospectively. Results The lesion fo cus were located at basal node, internal capsule, radio-crown and lateral side o f lateral ventricle and were extensive with the movement or sensory disorder. Th e older the patient was, the more tendency of CLI happened with higher in male c ompared with female. The incidence of CLI was higher in such patient of hyperten sion, arteriosclerosis, diabetes, hyperglycemia, hyperlipemia and high viscosity than that in general group. Conclusion The high risk factors of CLI might be a ge over 50 (male>female) hypertension, arteriosclerosis, diabetes, hyperglycemia , hyperlipemia and high viscosity. The prevention should be to prevent and treat the diseases mentioned above.