超早期脑梗死CT分析

目的探讨分析超早期脑梗死的CT征象,为临床诊断提供参考。方法回顾性分析本院2011年2月～2012年11月间收治的40例超早期脑梗塞患者的临床资料,所有患者均在发病后的6h内进行常规的CT扫查,在发病24小时-72小时内进行CT复查证实为脑梗塞,对患者CT征象进行统计分析。结果 40例超早期脑梗塞患者中,有21例患者在发病后的6小时内进行常规的CT扫查发现异常,其中10例（47.62%）患者出现低密度灶,5例（23.81%）患者出现皮质征,4例（19.05%）患者出现豆状核征,3例（14.29%）患者出现岛带征,3例（14.29%）患者出现占位征,2例（9.52%）患者出现致密动脉征。结论超早期脑梗塞的CT征象不典型,需要结合患者临床症状、体征,进行明确诊断。

Analysis of early cerebral infarction CT

Objective To investigate the CT features of hyperacute cerebral infarction,to provide the reference for clinical diagnosis. Methods Retrospective analysis of the clinical data of our hospital,from February 2011 to November 2012 ,admitted 40 cases of hyperacute cerebral infarction patients,all patients were in the 6 hours after the onset of the routine CT scan,CT scan showed that the incidence of cerebral infarction in 24～72 hours ,statistical analysis of patients with CT signs. Results 40 cases of patients with hyperacute cerebral infarction,21 patients undergoing routine CT in 6 hours after the onset of the internal scan abnormalities, including 10 cases （47.62%） with low density lesions,5 cases （23.81%） patients with cortical syndrome,4 cases （19.05%） with beans nucleus syndrome,3 cases （14.29%） patients with syndrome of 3 cases （island, 14.29%） patients with space-occupying syndrome,2 cases （9.52%） with dense artery sign. Conclusion CT features of hyperacute cerebral infarction is not typical,requires a combination of clinical symptoms,signs of the patients ,diagnosis.