CAJ | 학술논문

目的分析高血压脑病的影像学特征，探讨其影像学诊断和鉴别诊断。材料与方法回顾分析38例临床确诊为高血压脑病患者的头部MRI表现及临床资料(侧重影像学)。结果38例患者头部MRI表现为，影像学主要表现为脑水肿，伴灶状脑出血8例。患者收缩压为180～230 mm Hg、舒张压为120～150 mm Hg，均伴有不同程度颅内压升高临床表现。结论高血压脑病的MRI改变主要为脑水肿表现，其诊断与鉴别需密切结合临床。
목적분석고혈압뇌병적영상학특정，탐토기영상학진단화감별진단。재료여방법회고분석38례림상학진위고혈압뇌병환자적두부MRI표현급림상자료(측중영상학)。결과38례환자두부MRI표현위，영상학주요표현위뇌수종，반조상뇌출혈8례。환자수축압위180～230 mm Hg、서장압위120～150 mm Hg，균반유불동정도로내압승고림상표현。결론고혈압뇌병적MRI개변주요위뇌수종표현，기진단여감별수밀절결합림상。
Objective:To diagnosis and differential diagnosis in the patients with hypertensive encephalopathy. Materials and Methods:The clinical data including MRI of 38 patients with hypertensive encephalopathy were analyzed retrospectively. Results:There were positive findings in 38 patients on MRI. The positive findings mainly included brain edema and focal cerebral hemorrhage. The systolic blood pressure ranged from 180 to 230 mm Hg and diastolic blood pressure from 120 to 150 mm Hg in the patients. There were the clinical manifestations of high intracranial pressure in all the patients. Conclusions: The main manifestation of imaging is cerebral edema, and the diagnosis and differential diagnosis may be made by imagings combined with clinical manifestations in the patients with hypertensive encephalopathy.