腔隙性脑梗塞112例报道  

LACUNAR CEREBRAL INFARCTION (A report of 112 cases)

作　　者：张郁文[1] 尹宗信[1] 俞建中[2] 尹伟[2] 

机构地区：[1]蚌埠医学院附院神经内科 [2]蚌埠市第二人民医院内科

出　　处：《蚌埠医学院学报》1991年第3期194-196,共3页Journal of Bengbu Medical College

摘　　要：腔隙性脑梗塞又称腔隙性卒中,为缺血性卒中重要的一类。现将蚌医附院1986年5月～1990年3月及蚌埠市第二人民医院1989年1月～1990年2月收治的腔隙性梗塞112例,均经CT证实,其中1例并发原发性脑室出血、1例合并蛛网膜下腔出血、13例合并大面积梗塞、4例合并脑出血,分析如下。A series of 112 lacunar cerebral infarctions ( including 208 lacunar foci ) established by computerized tomograph are reported. The lacunar was found mainly in basal ganglions, and substantia alba around ventricles. Hypertension and arteriosclerosis were demonstrated to be the direct cause of the disease. Pathological changes were associated with chronic hypertension affecting primarily small arteries with 50-200μm in diameter. The location of 1acunar infarction constituted distinct clinical types, yet a small amount of cerebral hemorrhage might a1so present with lacunar syndrome. Pure motor hemiparesis and sensori-motor stroke were the usual types in clinical manifestations. Reliable diagnostic criteria will be discussed. Computerized tomograph was of great help in differential diagnosis.

关 键 词：脑栓塞 腔隙性 病理学 

分 类 号：R743.330.2[医药卫生—神经病学与精神病学]