急性脑梗死合并脑微出血的危险因素探讨

目的探讨急性脑梗死后发生发脑微出血(CMBs)的危险因素。方法将2009年10月—2011年10月入住该院的40例急性脑梗死患者作为研究对象,对患者进行磁敏感技术显像(SWI)和常规磁共振显像(MRI)扫描,并根据患者有无脑微出血分为两组,监测患者的年龄、高血压、脑白质疏松症、高血脂的发生情况,并对患者脑微出血的发生部位进行相应的统计。结果 40例急性脑梗死患者中,并发CMBs患者为28例,无并发CMBs患者12例,两组患者的年龄、高血压、脑白质疏松症发生率差异有统计学意义(P<0.05),而高血脂发生率无显著性差异。脑微出血的部位多位于丘脑。结论急性脑梗死患者合并CMBs与患者年龄、高血压、脑白质疏松症有关,并且多发于患者丘脑部位。

An Investigate for Risk Factors of Acute Cerebral Infarction with Cerebral Microbleeds

Objective To investigate the risk factors of acute cerebral infarction with cerebral microbleeds. Methods 40 patients with acute cerebral infarction are selected as the research object, make SWI and MRI scans to each patients, and then divided them into two groups for cerebral mierobleeds or not, monitoring the patient＇s age, hypertension, leukoaraiosis, high blood lipids, and statistics the patients cerebral microbleeds occurring site. Results Patients with cerebral microbleeds are 28 cases and with no cerebral microbleeds are 12 cases, the age of patients, the incidence of hypertension, leukoaraiosis significant difference （P〈0.05）, and high blood lipids is no significant difference. The site of bleeding in the brain is located in the hypothalamus. Conclusion The acute cerebral infarction patients with cerebral microbleeds are related with the patient＇s age, hypertension, leukoaraiosis, and more often in patients with hypothalamic site.