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CT对出血性脑梗死的诊断价值
引用本文:杨波,刘浩,宫鑫,方东. CT对出血性脑梗死的诊断价值[J]. 蚌埠医学院学报, 2007, 32(2): 209-211
作者姓名:杨波  刘浩  宫鑫  方东
作者单位:1. 安徽医科大学2005级研究生课程班(现工作于安徽省蚌埠市第三人民医院CT、MRI室, 233000), 安徽 合肥 230038;2. 安徽省蚌埠市第三人民医院 CT、MRI室, 安徽 蚌埠 233000;3. 安徽省蚌埠市第三人民医院 神经内科, 安徽 蚌埠 233000;4. 安徽省阜南县人民医院 放射科, 236300
摘    要:目的: 提高对出血性脑梗死CT诊断的认识,以准确的影像学诊断指导临床治疗。方法: 回顾性分析39例出血性脑梗死的临床特点和CT资料。结果: 39例中CT准确诊断36例,另外3例梗死区仅发生少量渗血,MRI明确显示梗死后的出血灶,而CT无明显变化。结论: CT扫描能够较准确的显示脑梗死后的出血发生与否、形态及出血量,是诊断出血性脑梗死的可靠手段,可用于监测脑梗死的治疗转归以及合并出血时的及时诊断。

关 键 词:脑梗死   脑出血   断层摄影术  X线计算机
文章编号:1000-2200(2007)02-0209-03
收稿时间:2006-04-18
修稿时间:2006-04-18

Diagnostic value of CT for cerebral hemorrhagic infarction
YANG Bo,LIU Hao,GONG Xin,FANG Dong. Diagnostic value of CT for cerebral hemorrhagic infarction[J]. Journal of Bengbu Medical College, 2007, 32(2): 209-211
Authors:YANG Bo  LIU Hao  GONG Xin  FANG Dong
Affiliation:1. 2005 In-service Postgraduate Courses Class at Anhui Medical University, Hefei 230038;2. CT and MRI Room, Bengbu Third People's Hospital, Bengbu 233000;3. Department of Neurology, Bengbu Third People's Hospital, Bengbu 233000;4. Department of Radiology, Funan County People's Hospital, Funan 236300, China
Abstract:Objective:To improve the recognition of CT diagnosis of cerebral hemorrhagic infarction for guiding the clinical therapy with the correct imaging diagnosis.Methods:The clinical and CT data in 39 patients with cerebral hemorrhagic infarction were retrospectively analyzed.Results:Of all 39 patients,the cerebral hemorrhagic infarction was correctly diagnosed with CT in 36.In another 3 patients,the bleeding in the infarction was less.The hemorrhage was obviously visualized with MRI,while there was no change on CT.Conclusions:The CT scanning can provide qualified images of cerebral hemorrhagic infarction for the findings and morphology as well as estimate of hemorrhage.CT is reliable for diagnosis of cerebral hemorrhagic infarction,and furthermore,it can provide the valuable observation for the follow-up of cerebral infarction and an early diagnosis for the hemorrhagic infarction in the infarction region.
Keywords:cerebral infarction   cerebral hemorrhage    tomography, x-ray computed
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