混合性脑卒中的临床与CT分析

Clinical and CT Analysis of the Mixed Stroke Patients

目的探讨混合性脑卒中的临床与 CT的特点。方法采用回顾性的方法对 4 7例混合性脑卒中患者的临床与脑 CT特点进行分析总结。结果 4 7例患者中高血压动脉硬化病史 >10年占 91.0 % ;起病在活动状态下占 71.0 % ;就诊时血压升高占 6 8.0 % ;神经功能缺损双侧占 6 0 .0 % ,其中大部分为不相关的两处神经功能缺损征。CT扫描有74 .0 %患者脑出血及梗死共存 ,以两侧基底节区最多见。结论混合性脑卒中是脑卒中的一种特殊类型 ,对于有高血压动脉硬化的中老年患者 ,突然或短期内先后发生不相关的神经功能缺损 ,应高度怀疑混合性脑卒中的可能 ,必须做脑 CT或短期重复脑 CT检查 ;治疗以控制颅内压 ,保护脑细胞功能 ,防治并发症为主。

Objective To investigate the clinical and CT features of the patients with mixed stroke. Methods By using retrospective method, the clinical and CT features in 47 cases of mixed stroke were analyzed and summarized. Results Among the 47 cases, the patients having a history of hypertensive arteriosclerosis over 10 years accounted for 91 0 %. The stroke came on in 71 0 % of the patients under the active state. The patients with the blood pressure being increased at visiting accounted for 68 0 %. The patients having bilateral nerve function defects accounted for 60 0 %. CT scanning revealed the co existence of cerebral hemorrhage and infarction in 74 0 % of the patients, mostly seen in the area of basal ganglion. Conclusion Mixed stroke is a special type. Repeated CT examinationis necessary. The treatments include controlling intracranial pressure, protect brain cell function, and preventing and treating complications. The prognosis is satisfactory.