论文部分内容阅读
目的探讨出血性脑梗死患者的临床特点、发病机制及如何降低其发生率。方法回顾性分析78例出血性脑梗死患者临床资料。结果大面积脑梗死59例,梗死灶中心出血60例,脑梗死后2周内发生出血69例。发生出血性梗死后原有病情加重。结论出血性脑梗死是影响患者生存的严重并发症,其预后主要取决于出血性梗死的部位、范围、用药及并发症等,病情变化应动态CT观察,及时诊治,如有条件可进入卒中单元治疗。
Objective To investigate the clinical features, pathogenesis and how to reduce the incidence of hemorrhagic cerebral infarction. Methods The clinical data of 78 patients with hemorrhagic cerebral infarction were retrospectively analyzed. Results Large area cerebral infarction in 59 cases, 60 cases of infarction center hemorrhage, 69 cases of bleeding within 2 weeks after cerebral infarction. Hemorrhagic infarction occurred after the original condition worsened. Conclusions Hemorrhagic cerebral infarction is a serious complication which affects the survival of patients. The prognosis mainly depends on the site, range, medication and complications of hemorrhagic infarction. The changes of the disease should be observed by dynamic CT, timely diagnosis and treatment, if possible, can enter the stroke unit treatment.