腔隙性脑梗塞的CT随访

• 作 者: 顾克金 王彦 孔庆霞 杨露春
• 机 构: 济宁医学院附属医院,济宁医学院附属医院,济宁医学院附属医院,天津医科大学附属医院
• 出 处: 济宁医学院学报
• 发表日期: 1999年03期
• 关键词: 腔隙性脑梗塞 CT 梗塞灶 深部梗塞 脑干梗塞 纯运动性偏瘫 大脑半球 放射冠 病理演变 急性期

目的　探讨临床表现为腔隙综合征、直径≤３５ ｍ ｍ 的梗塞灶病理演变规律，为腔隙性脑梗塞的早期诊断提供依据。方法　于发病７ｄ 内及３ 月后分别进行颅脑 Ｃ Ｔ 扫描，测量梗塞灶直径。结果　梗塞灶直径从２７２ ±３９２ ｍ ｍ 缩小为１５７ ±１９５ｍ ｍ 。结论　对梗塞灶直径在３５ ｍ ｍ 以下，且与临床相符的病人可早期作出腔隙性脑梗塞的诊断。

Objective To investigate the pathological changes of infarction lesions with lacunar syndrome and diameter ≤35 m m and to provide evidence for the early diagnosis of lacunar infarction. Methods Cerebral CT scanning was performed within 7 days and 3 months after onset, respectively. The diameter of infarction was measured. Results The infarct size reduced from 272 ± 392 m m to 157 ± 195 m m. Conclusion The diagnosis of lacunar infarction can be made early in patients whose infarction diameter is under 35 m, and is consistent with the clinical.