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目的 探讨大面积脑梗死眼球同向凝视的有关临床意义。方法 观察大面积脑梗死眼球同向凝视与梗死部位、CT证实时间及预后的关系。结果 316例大面积脑梗死中 ,72例出现同向凝视 ,其中顶叶受损 5 7例 ,2 4小时内出现同向凝视者 6 5例 ,死亡 32例。结论 大面积脑梗死眼球同向凝视与顶叶受损关系密切 ,其出现时间可能比CT检查所能证实的时间更早 ,且出现同向凝视的病人预后较未出现者差。
Objective To investigate the clinical significance of eyeball co-gaze with large area cerebral infarction. Methods To observe the relationship between the same direction of gaze and the infarction area of large area cerebral infarction and the time and prognosis of CT. Results In 316 cases of large area cerebral infarction, 72 cases showed the same direction of gaze, including 57 cases of parietal lobe damage. There were 65 cases of same-direction gaze and 32 cases of death in 24 hours. Conclusions There is a close relationship between eyeball coherence gaze and parietal lobe damage in large area cerebral infarction. The appearance time may be earlier than that of CT examination, and the prognosis of patients with same-direction gaze is worse than those without.