摘要
目的:探讨小脑梗死的病因、临床表现、影像学改变、诊断及治疗。方法:对我科1999年5月至2007年1月收治的45例患者的临床资料进行回顾性分析。结果:病因及危险因素为高血压、心脏病、高脂血症及糖尿病。最主要临床表现为眩晕及小脑性共济失调。头部CT 48h内阳性率为35.6%,头部MRI阳性率为100%。内科保守治疗的治愈率为40.0%,病死率为11.1%,脑疝为主要死因。结论:患者持续出现眩晕、共济失调要注意小脑梗死的可能,头部MRI确诊小脑梗死优于头部CT,一般采用内科保守治疗,注意防治脑疝。
Objective To investigate the etiology, clinical manifestations, the changes of CT/MRI, diagnosis and treatment of eerebellar infarction. Methods The data of 45 patients with eerebellar infarction admitted in our department during 1999 2007 were retrospectively analyzed. Results The main etiology and typical clinical manifestation were vertigo and cerebellar ataxia. The positive rate of CI＇ s CT examination was 35.6%. It＇ s positive rate of MRI was 100%. The cure rate was 40.0% and death rate was 11.1% in the patients who received eonservative treatment. The cerebral hernia was the main death reason. Conclusion ff the patients occur vertigo and ataxia continuously cerebellar infarction should be paid attention to. MRI is superior to CT in the diagnosis of cerebellar infaxetion. Generally, the patients were treated by medical method. It should be paid attention to the prevention and treatment of cerebral hernia.
出处
《实用医技杂志》
2008年第21期2741-2743,共3页
Journal of Practical Medical Techniques
关键词
小脑梗死
临床分析
脑疝
Cerebellar infarction
Clinical analysis
Cerebral hernia
