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目的:探讨小脑多灶梗塞的临床特征,病因、治疗及预后。方法:对21例小脑多灶梗塞患者的临床资料进行回顾性分析。结果:所有患者均有发病前血压低或医源性血压降低;TCD均显示颅内血流量降低,脑血流速度减慢,以BA最明显。结论:小脑多灶梗塞的发生与低血压、颅内低灌注明显相关,对于患有糖尿病等疾病的老年人要关注其血压,老年高血压患者血压不宜将血压降得太低。
Objective: To investigate the clinical features, etiology, treatment and prognosis of cerebellar multifocal infarction. Methods: The clinical data of 21 patients with cerebellar multifocal infarction were analyzed retrospectively. Results: All patients had low blood pressure before onset or iatrogenic blood pressure decreased; TCD showed decreased intracranial blood flow, cerebral blood flow slowed to BA the most obvious. Conclusion: The occurrence of cerebellar multifocal infarction is obviously related to hypotension and intracranial hypoperfusion. For elderly people with diabetes and other diseases, their blood pressure should be concerned. The blood pressure of elderly patients with hypertension should not be lowered too much.