【摘要】 目的:探讨出血性脑梗死的病因、临床特点、影像学特点、治疗及预后。方法:回顾自2009年1月~2012年1月我科收治的急性出血性脑梗死患者共28例(男性17例,女性11例),从病因、临床特点、CT分型及治疗等进行回顾性总结。结果:28例出血性脑梗死中大面积脑梗死、长期糖尿病,高血压及高脂血症者占多数,临床病例中常规复查CT,依CT分型中HI-I、HI-II型临床治疗中不停用抗血小板药物,并未引起病情恶化。结论:大面积脑梗死、长期糖尿病,高血压及高脂血症者易发生出血性脑梗死,治疗中应结合CT分型及时调整方案。更多还原

【Abstract】 Objective:To investigate the etiology,clinical features,imaging charateristics,management and prognosis of hemorrhagic infarction(HI) in acute cerebaral infarction.Methods:Retrospective analysis was performed in 28(male,17;female,11)acute hemorrhagic infarction patients admitted in our hospital between Jan 2009 and Jan 2012.This analysis reviewed regarding the etiology,clinical featutes,CT classification and treatment.Results:Risk factors of HI included massive cerebral infarction,long term diabetes,poorly controlled hypertension and hyperlipidemia.HI patients treatment should be timely review of CT;Based on CT classifaction antiplatelet drugs can be stoped in HI-I,HI-II patients,and this treatment does not lead to disease progression.Conclusion:The pstients with massive cerebral infarction,long term diabetes,poorly controlled hypertension and hyperlipidemia are susceptible to HI.HI patients treatment should be combined with CT clsssification and timely adjustment of the threapy plan.更多还原