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目的 探讨 2 2例大面积脑梗死的CT与临床。方法 2 2例急性脑血管病患者于发病后 1～ 7天内行CT检查 ,均符合大面积脑梗死。结果 发病 2 4小时行脑CT扫描 2 2例 ,病灶超过一个脑叶 ,5cm以上 ,仅 5例占 2 2 .7% (5 /2 2 ) ;发病 72小时内 ,CT扫描 17例 ,符合 8例 ,占 47.0 % (8/17) ;7天内行脑CT扫描 9例 ,均符合占 10 0 % (9/9)。结论 临床表现 :急性起病、高颅压、偏瘫、凝视麻痹及昏迷。在 7天内行CT扫描均为大面积脑梗死 ,虽然经脱水降颅压 ,活血化瘀 ,脑代谢剂治疗 ,基本痊愈只有 4例 ,显著进步及进步 6例 ,无变化及恶化 3例 ,死亡 9例。
Objective To investigate the CT and clinical features of 22 cases of large area cerebral infarction. Methods Twenty-two patients with acute cerebrovascular disease underwent CT examination within 1 to 7 days after onset, which were in line with large-area cerebral infarction. Results Twenty-four hours after the onset of brain CT scan, 22 cases had more than 5 cm lobes and more than 5 cm lesions, accounting for 22.7% (5/2 2). Within 72 hours of onset, CT scan was performed in 17 cases, Cases, accounting for 47.0% (8/17). Nine patients underwent brain CT scan within 7 days, all of which accorded with 10% (9/9). Conclusions Clinical manifestations: acute onset, high intracranial pressure, hemiplegia, gaze paralysis and coma. CT scan within 7 days were all large-area cerebral infarction. Although dehydration reduced intracranial pressure, blood circulation and brain metabolism agent treatment, only 4 cases were basically cured, 6 cases were improved and improved significantly, 3 cases were unchanged and 3 cases died, and death 9 cases.