脑血栓出血性脑梗塞38例分析

本文报道血栓性出血性脑梗塞（ＨＩ）３８例，占血栓形成的４．２％。血栓性ＨＩ的临床症状轻重与发病时间迟早有关，７天内发病重症型为主，７天后以轻症占多数（８４．２％）。ＣＴ扫描结果血肿型临床症状重，特别在大片状梗塞继发出血者预后差，点斑状型出血临床症状较轻（９２．１％）。为了提高出血性脑梗塞的诊断率，对大片状梗塞或脑血栓后病情恶化或持续不缓解者应ＣＴ扫描追踪复查。

CLINICAL ANALYSIS:38 CASES OF THE CEREBRAL THEROMBOTIC HEMERRHAGIC INFARCTION

cases with cerebral thrombotic hemorrhage infarction (HI) were studied in this article. The incidence of HI in infarction were 4.2 percent. The neurologic deficits or the patients were related to how early or late the hemorrhagic transformations took place. The serious cases of HI occured in these patients whose hemorrhagic transformation took place in seven days after onset of the isohemie stroke. But the light cases or HI mainly occured a week late. CT scanning show the manifestations of the intracranial hematomas type were serious while the spots and slice type of HI were light. The prognosis or large area infaretion were worse. Serial CT scanning at these patients who sufrered from large area infaretion or whose manifestation were deterionation or weren't relieved for long time would likely facilited the diagnosis of hemorrhagic infaretion.