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目的 探讨出血性脑梗死患者的临床特点及其预后。方法 回顾性分析 2 1例出血性脑梗死患者的临床资料。结果 17例发生于 6 0岁以上 ,大面积梗死或多发性梗死者 12例 ,原梗死灶出血 2 0例。脑梗死后第 2周发生出血 12例 ,发生出血性脑梗死后原有症状加重。结论 经脱水等综合治疗后预后良好 16例 ,但大量出血者仍需手术治疗 ,预后不良。结论 出血性脑梗死是影响患者生存的严重并发症。应动态 CT观察 ,及时诊治可改善其预后。
Objective To investigate the clinical characteristics and prognosis of patients with hemorrhagic cerebral infarction. Methods The clinical data of 21 patients with hemorrhagic cerebral infarction were retrospectively analyzed. Results 17 cases occurred in 60 years old, 12 cases of large infarction or multiple infarction, the original 20 cases of infarction bleeding. Twelve weeks after the onset of cerebral hemorrhage occurred in 12 cases, the original symptoms of hemorrhagic cerebral infarction increased. Conclusions After dehydration and other comprehensive treatment of good prognosis in 16 cases, but a large number of bleeding still need surgery, poor prognosis. Conclusion Hemorrhagic cerebral infarction is a serious complication that affects the survival of patients. Should be dynamic CT observation, timely diagnosis and treatment can improve their prognosis.