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目的探讨进展性脑梗死的危险因素。方法分析了40例进展性脑梗死患者的血压、体温、白细胞计数、血糖、血脂、纤维蛋白原、尿酸、C-反应蛋白、颈部血管B超检查结果,并与40例完全型梗死患者的临床资料作对照,进行统计学分析。结果进展性脑梗死组存在感染、收缩压偏低、糖尿病、高血糖、高血脂、高纤维蛋白原、颈部血管狭窄明显、不稳定斑块出现率高与对照组比较,差异有统计学意义(P<0.05)。结论感染、血糖升高、急性期收缩压降低、高脂血症、高纤维蛋白原血症及颈部血管狭窄、不稳定斑块形成与进展性脑梗死关系密切,应作为危险因素。
Objective To explore the risk factors of progressive cerebral infarction. Methods The blood pressure, body temperature, white blood cell count, blood glucose, blood lipid, fibrinogen, uric acid, C-reactive protein and blood vessels of the neck in 40 patients with progressive cerebral infarction were analyzed by B-mode ultrasonography and compared with 40 patients with complete infarction Clinical data for the control, statistical analysis. Results There was infection in patients with progressive cerebral infarction, low systolic blood pressure, diabetes, hyperglycemia, hyperlipidemia, high fibrinogen, obvious narrowing of cervical vessels and high incidence of unstable plaque compared with the control group, the difference was statistically significant (P <0.05). Conclusion Infection, hyperglycemia, decreased systolic blood pressure in acute phase, hyperlipidemia, hyperfibrinogenemia and stenosis of cervical vessels, unstable plaque formation and progressive cerebral infarction are closely related to risk factors.