混合性中风11例临床分析

Clinical Analysis of Eleven Cases of Mixed Apoplexy

84例脑出血患者中 1 1例临床混合性中风 ,占同期中风病人的 1 3.1 %。临床观察和病理资料证实 ,中风急性期完全可同时存在两种不同性质的病变 ,即出血性和缺血性 ,使两种病变可以互相促进 ,相互转化。本资料归纳为二种类型 :出血———梗塞型 ;梗塞———出血型。早期多次CT扫描对混合性中风有可靠诊断价值。治疗以中性治疗为主 ,合理使用渗透性脱水剂 ,注意脱水后补充入量 ,适当控制血压水平是关键。

The article reports eleven cases of mixed apoplexy which constitute 13.1 % of the patients in almost the same period.The clinical observation and pathological materials have proved that tw o different kinds of pathological changes may simultaneously exist in the acute phase of apoplexy.The two changes can interact and interchange.The paper summer izes them as the two following types: Hemorrhage-infarction and infarction-hem orrhage.Many CT scannings at th e early stage are of great diagnostic value.Neutral treatment should be put firs t,with judicious use of osmotic dehydrating agent.Make sure to supply more after dehydration.The most important point is to control the level of blood pressure.