笔者于1995年6月～1999年3月,共诊治急性脑血管病致胆绞痛12例,现分析如下。1 临床资料1.1 一般资料 12例中,男8例,女4例,年龄45岁～78岁,平均64岁。经 CT 确诊,其中脑梗塞9例,脑出血3例。既往均无胆绞痛病史。其中7例疼痛剧烈,难以忍受,5例疼痛较轻。临床表现:全组病例发病时均具有急性脑血管病的特点,出现锥体束损害或(及)颅内压升高等表现,在起病同时或继后出现胆绞痛,墨菲氏征均呈阳性。辅助检查:胆囊 The author in June 1995 ~ March 1999, a total of 12 cases of acute cerebral vascular disease caused by biliary colic, are analyzed as follows. 1 Clinical data 1.1 General Information 12 cases, 8 males and 4 females, aged 45 to 78 years, mean 64 years. CT confirmed by cerebral infarction in 9 cases, 3 cases of cerebral hemorrhage. No previous history of biliary colic. Seven of them were severe and unbearable, and five had less pain. Clinical manifestations: the incidence of all patients with acute cerebrovascular disease characteristics, the occurrence of pyramidal tract damage or (and) increased intracranial pressure and other manifestations, at the same time or subsequent onset of biliary colic, Murphy’s sign Positive. Auxiliary examination: gallbladder