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经 CT 诊断证实的脑梗塞,梗塞灶多位于基底节、内囊、额、顶、颞叶及脑干等,有单发或多发,单发或并发枕叶梗塞者少见,国内外报道亦少。现将我院1984年至1990年经 CT 诊断证实为枕叶梗塞的3例报告讨论如下。例1:男,58岁,左利者。因双眼视力锐减一天入院。住院一天前无何原因突然双眼视力减退,视物模糊,伴头痛,急诊住眼科,诊为球后视神经炎。给激素、维生素等药物治疗半月,症状无改善,后做 CT 显示双侧枕叶脑梗塞影象,故转入神经科治疗。查体:T36.8℃,P80/min,R20/min,BP16.2/11.2kPa 双肺正常;心律齐,心率80/min,
Confirmed by CT diagnosis of cerebral infarction, infarction and more in the basal ganglia, internal capsule, amount, top, temporal lobe and brain stem, single or multiple, single or complicated by occipital infarction are rare, few reports at home and abroad . Now our hospital from 1984 to 1990 confirmed by CT diagnosis of occipital infarction in 3 cases report as follows. Example 1: Male, 58 years old, left-off. Due to sharp reduction of binocular vision admission one day. One day before the hospitalization of a sudden vision loss of any reason, blurred vision, with headache, emergency ophthalmology, diagnosis of posterior optic neuritis. Give hormones, vitamins and other drugs for half a month, no improvement in symptoms, after CT showed bilateral occipital lobe infarction images, so into the neurology treatment. Physical examination: T36.8 ℃, P80 / min, R20 / min, BP16.2 / 11.2kPa normal lung; rhythm Qi, heart rate 80 / min,