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目的探讨出血性脑梗死(hemorrhagic cerebral infarction)的发病原因、发病机制、临床及影像学特点。方法回顾性分析本院2010年5月至2013年5月收治的80例出血性脑梗死患者。仔细观察所有患者的发病原因、发病机制、临床症状和治疗办法。结果出血性脑梗死常由于患者原患有心房纤颤与原发性高血压等病而引发大面积脑梗死和脑栓塞。在脑梗死发病后一周后很可能会发生内出血转化的临床症状。在CT和MRI等的影像学检查和诊断主要是表现为非血肿型。结论研究发现出血性脑梗死发病的主要起因是血压和脑血栓的问题。采取积极的措施调节患者的血压有助于脑栓塞和较大面积的脑梗死的病情缓解。采用影像学的资料和方法动态观察病情,以脱水和止血为主的治疗方法是脑梗死出血后的首选。
Objective To investigate the etiology, pathogenesis, clinical and imaging features of hemorrhagic cerebral infarction. Methods A retrospective analysis of our hospital from May 2010 to May 2013 admitted 80 cases of hemorrhagic cerebral infarction. Carefully observe the causes of all patients, pathogenesis, clinical symptoms and treatment. Results Hemorrhagic cerebral infarction often caused by large area cerebral infarction and cerebral embolism due to patients with original atrial fibrillation and essential hypertension and other diseases. One week after the onset of cerebral infarction, clinical signs of internal bleeding may develop. In CT and MRI imaging examination and diagnosis is mainly manifested as non-hematoma type. Conclusion The study found that the main cause of hemorrhagic cerebral infarction is the problem of blood pressure and cerebral thrombosis. Taking positive measures to regulate the patient’s blood pressure contributes to the remission of cerebral embolism and a larger area of cerebral infarction. The use of imaging data and methods of dynamic observation of the disease to dehydration and hemostasis-based treatment is the preferred after cerebral infarction bleeding.