老年人出血性脑梗死38例临床分析

目的 分析出血性脑梗死（HI）的临床特点、影像学资料和临床处理，期望提高HI的诊断率及治愈率。方法 回顾性分析38例HI临床诊治过程与影像学资料。结果 38例HI占同期脑梗死的9．2％，其中心源性脑梗死为66％，出血发生在第1周14例（37％），第2周17例（45％）；出血与血压不稳定和血流再灌注有关，与抗凝剂不一定有因果关系。结论HI的诊断主要是依靠CT或MRI，HI患者要复查CT或MRI，才能及早诊断及时调整治疗措施。预防并发症是对HI抢救的关键。

The clinical analysis of 38 old patients with hemorrhagic cerebral infarction

Objective To review the clini ca l behaviors,screenage date and treatment of the 38 old patients with hemorrhagic cerebral infarction(HI).Methods The clinical treatment and scr eenage date of the 38 patients were reviewed.Results The 38 pat ients with hemorrhagic cerebral infarction were about 9.2% of the patients with cerebral infarction in the same time.The patients with cardiogenic cerebral infa rction were about 66% of the patients with hemorrhagic cerebral infarction.14 pa tients(37%) occurred hemorrhage in the first week,and 17 patients(45%) occurred hemorrhage in the second week hemorrhage,which was related with the lability of blood pressure,blood steram novo-filling,and may not be related with anticoagul ant.Conclusion The diagnosis of hemorrhagic cerebral infarction depends on computer tomography(CT) or MIR.In order to diagnosis early and adjus t treatment in time,the patients with hemorrhagic cerebral infarction must re-e xamine CT or MRI.The key point to rescue the patients with hemorrhagic cerebral infarction is to prevent complication.