丘脑梗塞50例临床分析  

CLinical analysis of 50 cases of thalamic infarcts

作　　者：张锋 

机构地区：[1]湖北襄樊市520厂职工医院,441022

出　　处：《航空航天医药》1997年第4期12-13,共2页Aerospace Medicine

摘　　要：目的：分析50例丘脑梗塞的危险因素和临床特点。方法：患者按年龄分成青年组（＜45岁）和中老年组（＞45岁）以分析丘脑梗塞的危险因素。借助CT／MRI，分析丘脑梗塞四种解剖亚型的临床特点。结果：丘脑梗塞的主要危险因素在青年组是吸烟（60％），在中老年组是高血压和动脉硬化（80％）。丘脑梗塞四种解剖亚型分别是后外侧型20例，前外侧型15例，内侧型10例，背侧型5例，他们的主要临床表现是感觉运动障碍（后外侧型），运动和记忆障碍（前外侧型），不同水平的意识障碍（内侧型），轻度和短暂的运动障碍（背侧型）。结论：青年组和中老年组丘脑梗塞的危险因素及四种解剖亚型的丘脑梗塞的临床特点均存在一定的差异。OBJECTIVE:To analyze risk factors and clinical characteristics of 50 cases thalamic infarcts. METHOD:For analyzing risk factors of patients with thalamic infarcts, the patients were dividided according to age into two groups:young(<45years) or middle and old age(>45years). With help of CT or MRI the clinical characteristics of patients with thalamic infarcts were analyzed according to the four topographic subtypes. RESULts: The main risk factors of thalamic infarcts were cigarette smoking in young group (60% ),hypertensive and atherosclerosis in middle and old age group (80% ). The four topographic subtypes of thalamic infarcts were 20 posterolateral, 15 anterolateral, 10 medial, 5 dorsal respectively,and their main clinical features were sensorimotor deficits (posterolateral type), motor and memory deficits (anterolateral type),altered level of consciousness (medial type ),mild and transient motor deficits (dorsal type). CONCLUSION:Both the risk factors of patients with thalamic infarcts in young group and middle and old age group,and clinical characteristics of patients with four topographic subtypes of thalamic infarcts showed some difference.

关 键 词：脑梗塞 丘脑 病因 治疗 

分 类 号：R743.33[医药卫生—神经病学与精神病学]