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急性脑梗死102例临床分析 被引量:5

Analysis of clinical features of 102 cases of acute cerebral infarction
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摘要 目的研究分析102例不同年龄组急性脑梗死患者的病因、症状、体征及头部CT检查结果。方法将102例急性脑梗死患者分为老年组和非老年组,对发病因素、症状、体征和头部CT特点进行对比分析。结果 102例ACI发病因素中,高血压者占65.69%,冠心病者占24.51%,糖尿病者占25.49%,有短暂性脑缺血发作病史者占30.39%,高脂血症者占47.06%,吸烟者占54.90%,有家族史者占31.37%,非老年组中初发者多见,有头痛、头晕及偏身感觉障碍等症状者比老年组多见,而偏瘫、四肢瘫、构音障碍及意识障碍者则老年组多见,头部CT示单梗塞灶者在非老年组多见,多梗塞灶、脑白质脱髓鞘及脑萎缩者在老年组多见。结论脑梗死患者因年龄不同,其发病因素、临床表现及头部CT所见有所不同。 Objective To study of the clinical features of 102 cases acute cerebral infarction in different ages of pathogenic factors,symptoms,signs and CT examination.Methods 102 cases of acute cerebral infarction were divided into senile and non-senile groups and compared their clinical features in cause of disease,symptoms,signs and manifestation of CT.Results 102 cases of the pathogenic factors were as follows:hypertension(65.69%),heart disease(24.51%),diabetes mellitus(25.49%),transient ischemic attack history(30.39%),hyperlipidemia(47.06%),smokers(54.90%) and family history(31.37%),respectively.In non-senile group,first invasion,headache,dizziness,hemiparesthesia and focus of single infarction were more than senile group.In senile group,hemi-plegia,quadriplegia,dysarthria,disorder of consciousness and focus of multiple infarction were more than non-senile group.Conclusion In patients of acute cerebral infarction,the pathogenic factors,manifestation of clinical and CT are different between senileand non-senile groups.
作者 吕干
出处 《中国实用医药》 2011年第33期13-14,共2页 China Practical Medicine
关键词 脑梗死 急性 发病因素 年龄因素 CT检查 Cerebral infarction Acute period Pathogenic factors Age factors CT examination
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