【摘要】 目的:本文旨在通过探讨低灌注性脑梗死的临床特点,以利于临床医生的诊疗工作。方法:回顾分析2015年2月~2016年3月通辽市医院神经内二科以脑梗死入院的患者或入科患者进一步发生低灌注脑梗死的病例36例作为临床资料,分析低灌注性脑梗死的临床特点及发病机制。结果:36例患者中,22例来自急诊科(感冒发汗5例,进食差11例,不明原因6例),2例来自外科术后,3例来自心血管内科,2例来自消化内科(均因吐泻),7例为我院神经内二科住院患者(其中5例为医源性低灌注,2例为患者病情所致)。治疗后临床症状完全消失7例,好转24例,无效3例,死亡2例。结论:低灌注性脑梗死与血流动力学、血液流变学及侧支循环未充分建立有关,脑梗死及高危患者要保证脑部灌注,以防发生低灌注。更多还原

【Abstract】 OBJECTIVE:To explore the clinical characteristics of cerebral infarction of low perfusion in order to facilitate the diagnosis and treatment of the disease.METHODS:Clinical data of 36 patients with cerebral infarction were retrospectively analyzed from February 2015 to March 2016 in our hospital.The clinical characteristics and pathogenesis of cerebral infarction of low perfusion were analyzed.RESULTS;Among 36 patients,22 cases were from the emergency department(cold sweating 5 cases,poor eating11 cases,unknown reason 6 cases),2 cases from surgery,3 cases from cardiovascular internal medicine,2 patients from the digestive internal medicine,7 cases from neurology and 5 cases from iatrogenic hypoperfusion.After treatment clinical symptoms disappeared completely in 7 cases,2 cases were improved,3 patients were ineffective and 2 cases died.CONCLUSION:Infarction of low perfusion and hemodynamics,hemorheology,and composition of the perfusion of the brain in the patients at high risk of cerebral infarction should be ensured in order to prevent low perfusion.更多还原