本文报告90例恶化性卒中(DS),占同期脑血管病的53.6％,其中79％病情恶化在起病后一周内,计缺血性卒中51例,出血性卒中39例。DS的病因包括脑部和躯体两方面,脑水肿和进行性血栓是主要原因,占60％。结合文献讨论了引起卒中恶化的各种病因和临床特征,提出DS的诊断依据和治疗措施。 This article reports 90 cases of worsening stroke (DS), accounting for 53.6% of the same period of cerebrovascular disease, of which 79% of the disease progression within one week after onset, including 51 cases of ischemic stroke and hemorrhagic stroke in 39 cases. The etiology of DS includes both brain and body, cerebral edema and progressive thrombus are the main reasons, accounting for 60%. Combined with the literature discussed the causes of stroke caused by a variety of etiology and clinical features, put forward the diagnosis of DS and treatment.