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目的 探讨小灶性脑出血的临床特点、治疗和预后。方法 对 5 8例经颅脑CT证实为小灶性脑出血病人的临床资料进行回顾性分析。结果 小灶性脑出血临床多表现为某一类型的腔隙综合征 ,一般不产生全脑损害症状 ,CT显示单发圆形或类圆形高密度灶 ,占位效应不明显。近期预后良好 ,但远期追踪观察脑卒中再发率较高 (2 5 9% )。结论 小灶性脑出血是引起腔隙综合征的主要病因之一。及时行颅脑CT检查、合理控制高血压 ,对本病的早期诊断、治疗和减少脑卒中再发率有重要意义。
Objective To investigate the clinical features, treatment and prognosis of focal cerebral hemorrhage. Methods The clinical data of 58 patients with focal cerebral hemorrhage confirmed by CT scan were retrospectively analyzed. Results The most clinical manifestations of focal cerebral hemorrhage were lacunar syndromes of one type, and no symptoms of whole brain damage were found. CT showed single round or round high density lesions and the mass effect was not obvious. The recent prognosis is good, but the long-term follow-up observed a higher incidence of recurrent stroke (25.9%). Conclusion Small focal cerebral hemorrhage is one of the main causes of lacunar syndrome. Time line brain CT examination, reasonable control of hypertension, the early diagnosis of the disease, treatment and reduce the incidence of stroke is important.