脑梗死后皮质性出血11例临床分析

Clinical Analysis of 11 Patients with Cortical Hemorrhagic Infarction

目的 :探讨脑梗死后皮质性出血 (CHI)发生的可能机制。方法 :对 11例经CT扫描证实CHI的临床资料进行分析。结果 :11例中至少 3例早期即发生CHI,5例CHI的发生发展与溶栓 ,抗凝治疗有关 ,5例发生CHI时病情加重 ,其中 2例死亡。结论 :CHI发生于病程各期且可能有不同的发病机制。溶栓抗凝治疗对CHI的发生、发展及预后有一定影响 ,应引起临床高度重视。

Objective:To study the possible pathogenesis of cortical hemorrhagic infarction(CHI).Methods: The clinical materials of 11 cases with CHI confirmed by CT scanning were analyzed.Results:At least there were 3 cases with early CHI among the 11 ones.The occurrence of 5 cases early catching CHI had some connections with thrombolysis and anti_coagulation therapy. Five cases deteriorated out of CHI,among them 2 died.Conclusion:CHI can occur at different stages of the course because of different pathogenesis.Thrombolysis and anti_coagulation therapy has certain effects on the occurrence,development and prognosis of CHI.