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47例出血性脑梗死临床分析
引用本文:苏红军.47例出血性脑梗死临床分析[J].医学理论与实践,2012,25(8):879-881.
作者姓名:苏红军
作者单位:天津医科大学宝坻临床学院神经内科,天津市,301800
摘    要:目的:探讨出血性脑梗死患者的病因、发病机制、临床特点及其预后。方法:回顾性分析47例出血性脑梗死患者的临床资料。结果:出血性脑梗死的发生率为2.17%,脑梗死后出血与大面积梗死、皮层梗死、合并心房纤颤、高血压、高血糖和既往脑卒中病史有关。结论:对大面积梗死、皮层梗死、合并心房纤颤、高血压、高血糖的患者宜密切动态观察,注意梗死后出血的可能。出血性脑梗死是影响患者生存的严重并发症,应动态CT观察,及时诊治可改善预后。

关 键 词:出血性脑梗死  发病机制  诊断  治疗  预后

Clinical Analysis of 47 Cases of Hemorrhagic Infarction
SU Hongjun.Clinical Analysis of 47 Cases of Hemorrhagic Infarction[J].The Journal of Medical Theory and Practice,2012,25(8):879-881.
Authors:SU Hongjun
Institution:SU Hongjun.Baodi Clinical College Neurology of Tianjin Medical University,Tianjin City 301800
Abstract:Objective:To investigate the hemorrhagic infarction etiology,pathogenesis,clinical features and prognosis.Methods:A retrospective analysis of 47 cases of hemorrhagic infarction in patients with clinical data.Results:Hemorrhagic infarction incidence rate was 2.17%,with the large area of infarction,cortical infarction,complicated with atrial fibrillation,hypertension,hyperglycemia and previous stroke history.Conclusion:In large area of infarction,cortical infarction,and atrial fibrillation,hypertension,hyperglycemia in patients should be closely observed dynamics,attention to the possibility of hemorrhage after infarction.Hemorrhagic infarction is a serious complication affecting survival,should be a dynamic CT observation,timely diagnosis and treatment may improve the prognosis.
Keywords:Hemorrhagic infarction  Pathogenesis  Diagnosis  Treatment  Prognosis
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