46例出血性脑梗死的临床分析

目的 对于出血性脑梗死（HI）发病的相关因素、临床特点及发病机制进行分析。方法 对498例脑梗死病人进行回顾性分析。分为HI组和NHI组；脑栓塞组和脑血栓组，应用，检验。结果 HI发生率为9．24％。Ⅲ发生率大灶梗死与小灶梗死比较，无显著性差异；大灶梗死与腔隙性梗死比较，有显著性差异；小灶梗死与腔隙性梗死比较，有显著性差异；脑栓塞组与脑血栓形成组比较，有显著性差异。但患者的年龄、高血压、高血糖、高血脂等脑梗死常见危险因素，HI组与NHI组无差异。结论 脑栓塞、梗死面积大小与Ⅲ发生密切相关，可认为是Ⅲ发生的主要危险因素。而患者的年龄、高血压、高血糖、高血脂等脑梗死的常见危险因素与HI的发生无明显的相关性。

Clinical analysis on 46 cases with hemorrhagic infarct

Objective To explore associated factor, pathogenesis mechanism and clinical feature on the pathogenesis of hemorrhagic infarct. Methods To retrospectively analysis clinical date of 498 ease cerebral infarct patients. There was divided into HI group and NHI group. The x^2 test was employed to evaluate the difference of clinical manifestations between two groups. Results Pathogenesis rate of HI is 14.52%. To compare large vessel territory cerebral infarction and small vessel territory cerebral infarction, there was no signifiean difference. To compare large vessel territory cerebral infarction and lacunae infarcetion lesion, there was significan. To compar small vessel territory cerebral infarction and lacunae infarcetion lesion, there was significan. To compare HI group and NHI group, there was no significan difference in risk factor of patients age, hypertension, hyperglycosemia, hyperlipoidemia. Conclusions Cerebral embolism and large vessel territory cerebral infarction were mority risk factor of HI, but patients age, hypertension, hyperglycosemia and hyperlipoidemia were not related to HI.