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目的探讨出血性脑梗死患者的临床特点、病因及其预后。方法回顾性分析21例出血性脑梗死患者的临床资料。结果高血压、大面积脑梗死、心房纤颤、器质性心脏病等是出血性脑梗死的常见高危因素。本组21例患者好转出院17例,占80.95%。病情好转自动出院2例,占9.52%。病情恶化自动出院、转院各1例,占9.52%。结论出血性脑梗死患者预后与出血类型无明显相关,与梗死部位、面积、脑水肿程度明显相关。
Objective To investigate the clinical features, etiology and prognosis of patients with hemorrhagic cerebral infarction. Methods The clinical data of 21 patients with hemorrhagic cerebral infarction were retrospectively analyzed. Results High blood pressure, large area cerebral infarction, atrial fibrillation and organic heart disease were common risk factors of hemorrhagic cerebral infarction. The group of 21 patients improved discharge 17 cases, accounting for 80.95%. Condition improved automatically discharged in 2 cases, accounting for 9.52%. Disorders were discharged automatically, transferred to the hospital in 1 case, accounting for 9.52%. Conclusion The prognosis of patients with hemorrhagic cerebral infarction has no significant correlation with the type of hemorrhage. It is significantly related to the infarct size, area and degree of cerebral edema.