混合性脑卒中的临床研究

目的 探讨混合性脑卒中的临床特点及治疗体会。方法 采用回顾的方法对114例混合性脑卒中的诊疗及转归进行总结分析。结果 114例患者中高血压动脉硬化者占81%,病初以脑出血为主要表现者76例,以脑梗塞为主要表现者28例,性质不能确定者10例。第一次头颅CT检查确诊者64例,其余50例均在治疗期间病情加重或出现新的症状体征,再次头颅CT或MRI检查确诊。结论 对于以往有高血压动脉硬化的中老年患者,突然出现不相关的神经功能缺损,或起病时只有一种性质的脑卒中,治疗过程中病情加重,甚至出现新的症状和体征,须尽早头颅CT或MRI检查,以发现混合性脑卒中,本病治疗上强调个体化为原则才有利于病情的恢复。

Clinical investigation of mixed stroke patients

Objective To investigate the clinical characteristics and theapeutic experience ofmixed stroke. Method 114 cases of mixed stroke patients were retrospective study to summarized. Andanalyze the therapeutice experience and prognosis. Result Among 114 cases of patients, Hypertensivearteriosclerosis dominated 81%,76 cases express intracerebral hemorrhage as main appearance at thebeginning, 28 cases mainly express cerebral infarction. 10 cases uncertain in nature. 64 cases diagnosisconfirmed by cranial CT at the first time. The residue 50 cases were confirm by repeat cranial CT or MRIduring the preriod of therapy, the symptoms became deteriorated or new syndrome shown. Conclusion Forpatients in middle age or aging, hypertensive arteriosclerosis in the past history, with suddenlyappearance of unrelated neurological functional defect or only a kind of cerebral strokes at thebeginning of disease and then became deteriorated during the process of treatment, express new symptomsand signs, all these need to have cranial CT or MRI examination as soon as possible.We emphasize theimportance of personalization in the treatement to beneficial the recovery of disease.