急性脑梗死88例临床分析

Analysis of clinical features of 88 cases of acute cerebral infarction

[背景 ]比较分析 88例不同年龄组急性脑梗死患者的病因、症状、体征及头部CT所见 .[病例报告 ]将 88例急性脑梗死患者分为老年组和非老年组 ,对发病因素、症状、体征和头部CT特点进行对比分析 ,发病因素中有高血压者占 6 4 % ,心脏病者占 2 3% ,糖尿病者占 2 5 % ,有短暂性脑缺血发作病史者占 30 % ,高脂血症者占 4 5 % ,吸烟者占 5 2 % ,有家族史者占 33% .非老年组中初发者多见 ,有头痛、头晕及偏身感觉障碍等症状者比老年组多见 ,而偏瘫、四肢瘫、构音障碍及意识障碍者则老年组多见 .头部CT示单梗塞灶者在非老年组多见 ,多梗塞灶、脑白质脱髓鞘及脑萎缩者在老年组多见 .[讨论 ]脑梗死病人因年龄不同 ,其发病因素。

BACKGROUNDTo investigate the clinical features of acute cerebral infarction in different ages.?CASE REPORT?88 cases of acute cerebral infarction were divided into senile and non senile groups and compared their clinical features in cause of disease, symptoms, signs and manifestation of CT. The pathogenic factors were as follows: hypertension (64%), heart disease (23%), diabetes mellitus (25%), transient ischemic attack history (30%), hyperlipidemia (45%), smokers (52%) and family history(33%), respectively. In non senile group, first invasion, headache, dizziness, hemiparesthesia and focus of single infarction were more than senile group. In senile group, hemi plegia, quadriplegia, dysarthria, disorder of consciousness and focus of multiple infarction were more than non senile group.?DISCUSSION?In patients of acute cerebral infarction, the pathogenic factors, manifestation of clinical and CT were different between senile and non senile groups.