中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
5期
913
,共1页
出血性脑梗死%危险因素%分型%治疗
齣血性腦梗死%危險因素%分型%治療
출혈성뇌경사%위험인소%분형%치료
Hemorrhagic infarction%Risk factors%Classification%Treatment
目的:探讨出血性脑梗死的病因、临床特点、影像学特点、治疗及预后.方法:回顾自2009年1月~2012年1月我科收治的急性出血性脑梗死患者共28例(男性17例,女性11例),从病因、临床特点、CT分型及治疗等进行回顾性总结.结果:28例出血性脑梗死中大面积脑梗死、长期糖尿病,高血压及高脂血症者占多数,临床病例中常规复查CT,依CT分型中HI-I、HI-II型临床治疗中不停用抗血小板药物,并未引起病情恶化.结论:大面积脑梗死、长期糖尿病,高血压及高脂血症者易发生出血性脑梗死,治疗中应结合CT分型及时调整方案.
目的:探討齣血性腦梗死的病因、臨床特點、影像學特點、治療及預後.方法:迴顧自2009年1月~2012年1月我科收治的急性齣血性腦梗死患者共28例(男性17例,女性11例),從病因、臨床特點、CT分型及治療等進行迴顧性總結.結果:28例齣血性腦梗死中大麵積腦梗死、長期糖尿病,高血壓及高脂血癥者佔多數,臨床病例中常規複查CT,依CT分型中HI-I、HI-II型臨床治療中不停用抗血小闆藥物,併未引起病情噁化.結論:大麵積腦梗死、長期糖尿病,高血壓及高脂血癥者易髮生齣血性腦梗死,治療中應結閤CT分型及時調整方案.
목적:탐토출혈성뇌경사적병인、림상특점、영상학특점、치료급예후.방법:회고자2009년1월~2012년1월아과수치적급성출혈성뇌경사환자공28례(남성17례,녀성11례),종병인、림상특점、CT분형급치료등진행회고성총결.결과:28례출혈성뇌경사중대면적뇌경사、장기당뇨병,고혈압급고지혈증자점다수,림상병례중상규복사CT,의CT분형중HI-I、HI-II형림상치료중불정용항혈소판약물,병미인기병정악화.결론:대면적뇌경사、장기당뇨병,고혈압급고지혈증자역발생출혈성뇌경사,치료중응결합CT분형급시조정방안.
@@@@Objective:To investigate the etiology,clinical features,imaging charateristics,management and prognosis of hemorrhagic infarction(HI) in acute cerebaral infarction.Methods:Retrospective analysis was performed in 28 (male,17;female,11)acute hemorrhagic infarction patients admitted in our hospital between Jan 2009 and Jan 2012.This analysis reviewed regarding the etiology,clinical featutes,CT classification and treatment.Results:Risk factors of HI included massive cerebral infarction,long term diabetes,poorly controlled hypertension and hyperlipidemia. HI patients treatment should be timely review of CT;Based on CT classifaction antiplatelet drugs can be stoped in HI-I,HI-II patients,and this treatment does not lead to disease progression.Conclusion:The pstients with massive cerebral infarction,long term diabetes,poorly controlled hypertension and hyperlipidemia are susceptible to HI.HI patients treatment should be combined with CT clsssification and timely adjustment of the threapy plan.
