CAJ | 학술논문

目的探讨脑出血并脑微出血的临床与影像特点.方法分析16例自发性脑出血并脑微出血患者的临床资料与MRI-SWI影像表现.结果患者平均年龄67.9岁.14例患者合并高血压病,9例为首次发病的脑出血患者,7例为再发脑出血患者.再发脑出血患者SWI检查全部发现脑微出血,其中6例(85.7％)微出血同时累及双侧半球多个脑叶及深部脑组织.首发脑出血组合再发脑出血组患者脑微出血的病灶数量均数分别为5.22±2.82和9.71±3.50,2组间微出血病灶数量存在统计学差异(P=0.013).结论脑微出血与自发性脑出血关系密切,较多的脑微出血病灶可能预示着再发脑出血的风险增高.
목적 탐토뇌출혈병뇌미출혈적림상여영상특점.방법 분석16례자발성뇌출혈병뇌미출혈환자적림상자료여MRI-SWI영상표현.결과 환자평균년령67.9세.14례환자합병고혈압병,9례위수차발병적뇌출혈환자,7례위재발뇌출혈환자.재발뇌출혈환자SWI검사전부발현뇌미출혈,기중6례(85.7％)미출혈동시루급쌍측반구다개뇌협급심부뇌조직.수발뇌출혈조합재발뇌출혈조환자뇌미출혈적병조수량균수분별위5.22±2.82화9.71±3.50,2조간미출혈병조수량존재통계학차이(P=0.013).결론 뇌미출혈여자발성뇌출혈관계밀절,교다적뇌미출혈병조가능예시착재발뇌출혈적풍험증고.
Objective To study the clinical and imaging features of intracerebral hemorrhage with cerebral microbleeds.Methods 16 patients of spontaneous intracerebral hemorrhage with cerebral microbleeds were involved,and their clinical data were analyzed retrospectively.All patients were èxamined by MR susceptibility weighted imaging(SWI).Results The average age of the patients was 67.9 years.14patients were complicated by hypertensive diseases.9 patients were first onset of intracerebral hemorrhages,and 7 patients were recurrent intracerebral hemorrhages.All patients with recurrent intracerebral hemorrhages were detected cerebral microbleeds by SWI,and among them,6 patients'cerebral microbleed scattered from lobes to deep brains.The average number of cerebral microbleeds in patients of first onset of intracerebral hemorrhages was 5.22 ± 2.82,while in patients of recurrent intracerebral,the number was 9.71 ± 3.50.Conclsion The relationship of cerebral microbleed and spontaneous intracerebral hemorrhage was close.Increasing numbers of cerebral microbleed may be a suggestive sign of recurrent intracerebral hemorrhage.