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发生于内囊区的非出血性梗塞是脑血管病的常见类型。曾有报告内囊梗塞患者的30%在脑缺血发作或神经功能缺失症状发作之后神经损害的症状有所进展,故提出抗凝治疗可能予防神经功能缺失。但如果原发于出血的内囊梗塞患者应用抗凝治疗将使其危险性增加。本文报告10例出血性内囊损害,作者强调对该类患者在CT 扫描之前采用抗凝治疗的潜在危险性,并对其临床及CT 所见予以讨论。
Non-hemorrhagic infarction that occurs in the internal capsule area is a common type of cerebrovascular disease. It has been reported that 30% of patients with internal infarction have symptoms of neurological damage after onset of a cerebral ischemic attack or neurological deficit, suggesting that anticoagulant therapy may prevent neurological deficits. However, if the primary bleeding in patients with internal infarction anticoagulant therapy will increase its risk. This article reports 10 cases of hemorrhagic internal capsule damage. The authors emphasize the potential risk of anticoagulant therapy for these patients prior to CT scanning and discuss their clinical and CT findings.