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目的:为探索完全性大脑中动脉梗死的早期CT及临床征象,以便及时采取救治措施,减少病死率。方法:对36例完全性大脑中动脉梗死及30例非完全性大脑中动脉梗死病例的临床表现、预后及早期CT扫描进行对比分析。结果:(1)36例cMCAI病例早期出现完全性偏瘫者27例,而30例nMCAI出现完全性偏瘫者12例,占40%(P<0.01);(2)两组预后对比显示cMCAI组病死率明显高于nMCAI组。结论;对急性脑梗死病人,若早期出现全脑症状及完全性偏瘫以及早期脑CT显示大脑中动脉早期梗死征象者.应考虑为完全性大脑中动脉梗死。
Objective: To explore the early CT and clinical signs of complete middle cerebral artery infarction in order to take timely rescue measures to reduce the case fatality rate. Methods: The clinical manifestations, prognosis and early CT scan of 36 patients with complete middle cerebral artery infarction and 30 patients with incomplete middle cerebral artery infarction were analyzed. Results: (1) There were 27 cases with complete hemiplegia in 36 cases of cMCAI at early stage, and 12 cases with complete nodule nMCAI (40%) (P <0.01). (2) The prognosis of the two groups showed that the cMCAI group died The rate was significantly higher than nMCAI group. CONCLUSIONS: For patients with acute cerebral infarction, early global cerebral symp- toms and complete hemiplegia, as well as early brain CT findings of signs of early infarction in the middle cerebral artery should be considered as complete cerebral infarction.