不同临床表现的腔隙性脑梗死患者108例临床分析  

Retrospective analysis on different clinical manifestations of lacunar infarction in 108 cases

作　　者：管海兵[1] 张春和[1] 沈斌[1] 

机构地区：[1]启东市人民医院,江苏启东226200

出　　处：《现代医药卫生》2011年第13期1936-1938,共3页Journal of Modern Medicine & Health

摘　　要：目的:分析腔隙性脑梗死患者不同的临床表现与院内检查结果差异,为临床诊断及预后评估提供参照。方法:收集本院近几年来的腔隙性脑梗死患者临床资料进行回顾性分析。结果:患者临床表现方面,运动性偏瘫所占比重最大;CT及MRI表现方面,有症状腔隙性脑梗死患者病灶主要位于基底节区,无症状患者病灶主要位于基底节区以外的脑实质;有症状和无症状腔隙性脑梗死患者其他伴发症状无明显差异性。结论:腔隙性脑梗死患者临床表现以偏身肢体障碍改变为主,不同临床表现的腔隙性脑梗死患者CT及MRI表现存在差异性,可望为临床诊断及预后判断提供一定的参考价值。Objective：To analyze the difference of clinical manifestations and auxiliary examinations in the patients with lacunar cerebral infarction（LCI） and further to provide reference for its clinical diagnosis and prognosis assessment.Methods：The clinical data of LCI patients in our hospital in recent years were collected and retrospectively analyzed.The statistical processing was performed with SPSS 13.0 software package.Results：Among all the clinical manifestations in the patients with LCI,motor hemiparesis occupied the most proportion.In CT and MRI features,the basal ganglia area was mainly involved in symptomatic patients,while the brain parenchyma in extracardiac tissue of basal ganglia area was mainly involved in symptomless patients.The complications in the patients with or without symptoms showed no significant differences.Conclusion：The main clinical manifestation of the patients with LCI is half-body limbs disorder and the patients with different clinical manifestations show different CT and MRI features,which could offer reference for its clinical diagnosis and prognosis judgment.

关 键 词：腔隙性脑梗死 回顾性分析 计算机层析X射线摄影 核磁共振 

分 类 号：R5[医药卫生—内科学]