出血性脑梗塞的临床及CT分析

目的探讨出血性脑梗塞(HI)的发病特点及CT表现,帮助临床正确判断病情、制定合理的抢救治疗方案。方法对25例出血性脑梗塞患者的临床资料及CT表现进行综合分析。结果25例出血性脑梗塞患者的CT表现主要为低密度灶内及／或周边出现高密度影,大致可分为三种类型:中心型、边缘型、混合型;临床上多发生在发病后第二周,症状相对较重,抗凝溶栓治疗疗效不明显或病情反加重。结论出血性脑梗塞是在缺血性脑梗塞的基础上发生的一种特殊类型的脑梗塞,临床上应注意抢救治疗的方案和时间窗,并适时复查CT。

The clinical and CT analysis of hemorrhagic infarction

Objective To investigate the regulation and CT appearance of hemorrhagic infarction (HI),help the clinic to judge the condition with accuracy,establish the reasonable treatment project.Methods; Analyze 25 cases HI patients'the clinical data and the CT appearance.Results 25 cases HI patients'CT appearance show mainly in low density area and its periphery appear the high density,and probably express to three kinds of types:Center type,periphery type,hybrid type; HI occurs mainly in the second week,the symptom is opposite more obvious,after the anti-coagulate and dissolve to bolt the treatment,the treatment is ineffective or the condition is anti-to aggravate.Conclusion HI is a special type cerebral infarction,Its foundation is the ischemic cerebral infarction.On the clinic,should notice the project and the time window of rescue treatment,and should reply to check the CT at the time of appropriatelyo.