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目的探讨出血性脑梗死的发病因素及临床治疗体会。方法回顾分析本院2010年1月至2012年6月66例出血性脑梗死出血性脑梗死患者的临床资料。结果出血性脑梗死发生时间越早,症状越重,病死率高;66例患者中,基本痊愈9例,显著进步35例,进步19例,死亡3例。结论对大面积梗死、合并高血压、房颤、糖尿病的患者宜密切动态观察病情变化,注意梗死后出血可能,及时复查头颅影像以调整治疗方案。
Objective To investigate the incidence of hemorrhagic cerebral infarction and clinical experience. Methods The clinical data of 66 patients with hemorrhagic cerebral infarction hemorrhagic cerebral infarction from January 2010 to June 2012 in our hospital were retrospectively analyzed. Results The onset of hemorrhagic cerebral infarction was earlier, the symptoms were more severe and the case fatality rate was higher. In 66 cases, 9 cases were basically cured, 35 cases were significantly improved, 19 cases were improved and 3 cases died. Conclusion The patients with large infarction, hypertension, atrial fibrillation and diabetes mellitus should be closely observed dynamic changes in the situation, pay attention to the possibility of bleeding after infarction, timely review of the cranial image to adjust the treatment options.