| 大脑中动脉严重狭窄或闭塞卒中类型分析 |
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| 引用本文： | 吴雪梅,张见影,宋晓南,邢英琦,王光亮.大脑中动脉严重狭窄或闭塞卒中类型分析[J].中风与神经疾病杂志,2007,24(6):674-676. |
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| 作者姓名： | 吴雪梅 张见影 宋晓南 邢英琦 王光亮 |
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| 作者单位： | 吉林大学第一医院神经内科,吉林,长春,130021 |
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| 摘 要： | 目的探讨大脑中动脉严重狭窄或闭塞患者卒中类型特点及其发病机制。方法经TCD确诊的大脑中动脉狭窄或闭塞患者,依据头部CT和(或)MRI所示梗死灶进行卒中分型。结果169例大脑中动脉严重狭窄或闭塞患者,卒中类型各亚型以腔隙性脑梗死(LI)最为常见,占38.46%,其次为分水岭梗死(WI)占19.23%。流域性脑梗死、弥散性多发点状脑梗死、半卵园中心梗死与MCA严重狭窄或闭塞程度有关。结论大脑中动脉严重狭窄或闭塞患者卒中类型以腔隙型脑梗死、分水岭梗死为主。卒中类型多种多样,血管检查应该作为缺血性脑血管病的常规检查。
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| 关 键 词： | 大脑中动脉 严重狭窄或闭塞 卒中类型 |
| 文章编号： | 1003-2754（2007）06-0674-03 |
| 收稿时间： | 2007-06-20 |
| 修稿时间： | 2007-11-26 |
The analysis of stroke pattern in patients with severe stenosis or occlusion of middle cerebral artery disease |
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| WU Xue-mei , ZHANG ,Jian-ying,SONG Xiao nan ,et al..The analysis of stroke pattern in patients with severe stenosis or occlusion of middle cerebral artery disease[J].Journal of Apoplexy and Nervous Diseases,2007,24(6):674-676. |
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| Authors: | WU Xue-mei ZHANG Jian-ying SONG Xiao nan |
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| Institution: | Depatment of Neurology, The First Hospital of Jilin University ,Changchun 130021 ,China |
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| Abstract: | Objective To investigate the characteristics of stroke patterns in patients with severe stenosis or occlusion of MCA disease and to understand further the pathogenesis of stroke.Methods 169 patients with severe stenosis or occlusion of MCA disease performed CT and(or) MRI.Separate these patiens into stroke subpattern ac- cording to the lesions on CT and (or) MRI.Results It showed that the occurance of stroke patterns is LI with 38.46%,WI with 19.23%.TI,MSSI and SI are relative with the existence of severe stenosis or occlusion of MCA. Conclusion The main stroke subpattern is LI.Various subpattern could present,so vascular examination should be the routine of ischemic vascular disease. |
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| Keywords: | TCD |
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