| 恶化型脑梗死超早期临床与影像学研究 |
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| 引用本文： | 潘廷甫,孙新才,裴东方,王慧君,侯晗.恶化型脑梗死超早期临床与影像学研究[J].中国厂矿医学,2006,19(3):205-207. |
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| 作者姓名： | 潘廷甫 孙新才 裴东方 王慧君 侯晗 |
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| 作者单位： | 北大医疗集团平顶山市第二人民医院,河南省,平顶山市,467000 |
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| 摘 要： | 目的探讨恶化型脑梗死的早期影像学诊断与治疗。方法32例临床拟诊为恶化型脑梗死患者行急诊CT、MRI弥散加权成像（DWI）检查。确认病例立即行rt-PA溶栓等治疗。梗死25例。急诊CT检出大面积脑梗死14例，DWI检出25例。断恶化型脑梗死。超早期行溶栓等治疗效果较好。回顾性研究上述病人的临床资料。结果最终确诊恶化型脑经溶栓等治疗，好转14例。死亡11例。结论DWI可准确地诊
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| 关 键 词： | 恶化型脑梗死 诊断 治疗 超早期 影像学 |
| 文章编号： | 1004-7965（2006）03-0205-03 |
| 收稿时间： | 2005-08-23 |
| 修稿时间： | 2005年8月23日 |
Ultra -early clinics and image of deteriorating massive cerebral infarction |
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| PAN Ting-fu,SUN Xin-cai,PEI Dong-fang,WANG Hui-jun,HOU Han.Ultra -early clinics and image of deteriorating massive cerebral infarction[J].Chinese Medicine of Factory and Mine,2006,19(3):205-207. |
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| Authors: | PAN Ting-fu SUN Xin-cai PEI Dong-fang WANG Hui-jun HOU Han |
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| Abstract: | Objective To explore ultra-early image and treatment of deteriorating massive cerebral infarction.Methods Thirty-two cases diagnosed probably with deteriorating massive cerebral infarction were given CT and MRI(DWI) examination.The diagnosed patients were immediately accepted rt-PA therapy and etc.The above information were studied retrospectively.Results Twenty-five patients were diagnosed with deteriorating massive cerebral infarction.Emergency CT and DWI found massive cerebral infarction 14 and 25 cases respectively.With thrombosis resolution and other therapies,14 patients looked up,and 11 died.Conclusions With DWI,diagnosis can be made exactly in the ultra-early stage of deteriorating massive cerebral infarction.Ultra-early thrombosis resolution is effective for treatment of deteriorating massive cerebral infarction. |
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| Keywords: | Deteriorating massive cerebral infarction Diagnosis Treatment Ultra-varly Image |
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