【摘 要】
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目的 探讨脑出血急性期合并脑梗死的危险因素.方法 按照发病后2周内弥散加权成像(diffusion weighted image,DWI)上是否有新的脑梗死灶将125例原发性脑出血患者分为2组,比较
【机 构】
：
434020,湖北荆州市中心医院神经内科
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目的 探讨脑出血急性期合并脑梗死的危险因素.方法 按照发病后2周内弥散加权成像(diffusion weighted image,DWI)上是否有新的脑梗死灶将125例原发性脑出血患者分为2组,比较临床资料的差异.结果 21例DWI阳性者脑叶出血发生率、颅内大动脉狭窄发生率、平均血肿体积显著高于38例DWI阴性者(P＜0.05).Logistic回归分析显示入院第1d平均动脉压降低幅度(OR=7.384,P＜0.001)、脑叶出血(OR=3.124,P=0.021)及颅内大动脉狭窄(OR=5.044,P=0.027)与脑出血急性期合并新发脑梗死灶呈正相关.结论 平均动脉压降低幅度、脑叶出血、颅内大动脉狭窄可增加脑出血急性期合并急性脑梗死的风险.
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