脑梗塞引起痴呆的临床因素探讨  

A study on clinical factors eliciting dementia by cerebral infarct.

作　　者：张中兴[1] 宋景贵[1] 

机构地区：[1]河南省精神病医院神经科

出　　处：《中国神经精神疾病杂志》1991年第S1期27-29,63,共4页Chinese Journal of Nervous and Mental Diseases

摘　　要：对脑梗塞引起痴呆的25例和未引起痴呆的63例二组患者资料进行对比,探讨脑梗塞引起痴呆的危险因素;高血压是痴呆发生可能性最大的危险因素,既往卒中发作史和心脏疾患为痴呆发生的重要影响因素,CT表现为双侧半球梗塞灶、多发梗塞灶、底节丘脑区梗塞灶与痴呆的发生关系密切,也应视为脑梗塞引起痴呆的重要临床因素。对诸危险因素易致痴呆的机理和痴呆组的一些临床特点进行了分析。In order to study the risky factors eliciting the dementia by cerebral infarct,the clinical materials of the dementia subjects with cerebral infarct (n = 26)were analysed,comparing with those of the controls without dementia(n= 63).It was indicated that hypertension is the highest risk factor,the history of strok in the past and heart disease are the key factors as well,and that infarcts in two sided cerebral hemisphere,multi-infarct and infarcts in the area of basal nuclei and thalamus are intimately related to the dementia according to computertomography.The mechanism of the dementia related to these risky factors and some clinical characteristics were also analysed.

关 键 词：脑梗塞性痴呆 临床因素 梗塞灶 非痴呆 危险因素 心电图异常 肢体瘫痪 血液流变学 椎体外系症状 影响因素 

分 类 号：R74[医药卫生—神经病学与精神病学]