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本文对477例腔隙性脑梗塞临床与CT的关系进行了分析。男383例,女94例,平均年龄58.4岁。急性发病62.5％,进展型37.5％。66.88％有高血压病史。126例中51.59％有高血脂,35.71％有高血糖。91例中50.55％的血粘稠度高。临床以纯运动型和感觉-运动型多见。CT共检出750个腔隙灶,底节、放射冠和内囊是好发部位。腔隙大小以直径6～10mm者最常见。单发290例,多发187例,后者多为2～3个腔隙灶。本文还对腔隙梗塞的病因进行了探讨,认为“四高”和心功能减退、颈动脉病变是其主要危险因素。在治疗和预防上强调了控制“四高”,解除血液高粘滞、高凝集状态的重要意义。
In this paper, 477 cases of lacunar infarction clinical CT and the relationship was analyzed. There were 383 males and 94 females, with an average age of 58.4 years. 62.5% of acute onset, progressive 37.5%. 66.88% had a history of hypertension. Among 126 cases, 51.59% had hyperlipidemia and 35.71% had hyperglycemia. Of 91 cases, 50.55% had high blood viscosity. Clinical pure sports and sensory - sports more common. CT detected a total of 750 lacunar lesions, the bottom section, the coronaries and the internal capsule is a good site. Lamella size to the diameter of 6 ~ 10mm are the most common. 290 cases were single, multiple in 187 cases, the latter mostly 2 to 3 lacunar lesions. This article also discusses the causes of lacunar infarction, that the “four high” and cardiac dysfunction, carotid artery disease is its main risk factor. In the treatment and prevention of the emphasis on the control of the “four high” to lift the high blood viscosity, high agglutination state of great significance.