脑梗塞后出血与梗塞面积及预后的关系  

Relationship between hemorrhagic infarction and infarction volume and prognosis

作　　者：吉中国[1] 杨东鸾[1] 范璞[1] 吕太聪[1] 冷珍璞[1] 

机构地区：[1]山东省立医院,山东济南250021

出　　处：《山东医药》2001年第1期1-2,共2页Shandong Medical Journal

基　　金：山东省科委计划课题!(No:9612 2 6713 )

摘　　要：为探讨脑梗塞后出血与梗塞面积及患者预后的关系 ,对 49例出血性脑梗塞 (HI)患者进行了 CT动态观察 (其中大面积脑梗塞出血 2 7例 ) ,并与 2 2例大面积非出血性脑梗塞 (NHI)患者作对照 ,两组患者均在病初及病程第四周各进行临床神经功能缺损程度评分一次 ,以第二次的评分减少值作为判断脑功能恢复的指标。结果表明 ,脑梗塞面积越大 ,出血的可能性越大 ;HI患者的预后明显差于 NHI患者。说明预防脑梗塞后出血对改善患者预后具有重要意义。To discover the relationship between hemorrhagic infarction(HI) and the volume of infarction and the influence of hemorrhage to the brain 49 cases with HI were found by CT scanning and 27 cases of them with large volume of infarction Then 22 cases with large volume of infarction and without hemorrhage(NHI) were choiced as control group At the beginning and the fourth week of the course,a clinical neurologic defect grade point was given for each group The degree of the grade point decresed at the secondary examination was considered as the indicator of the recovery of brain function This indicates that HI is more common in patients with large volume of brain infarction Infarcted hemorrhage can affect the recovery of brain function It is useful to prevent infarcted hemorrhage for the patients with brain infarction from his recovery

关 键 词：出血性脑梗塞 相关因素 预后 梗塞面积 CT 

分 类 号：R743.340.6[医药卫生—神经病学与精神病学] R743.33[医药卫生—临床医学]