摘要
目的探讨脑干梗死的临床特征、病理基础、及影像学特点,提高对本病的诊断及疗效。方法对72例脑干梗死患者经头颅CT或MRI确诊后分为介入与非介入对照两组,并分析探讨本病的特点与介入的疗效。结果延髓和中脑梗死均具有交叉性瘫痪,脑桥梗死则有不同的临床征象,可概括为四种类型:交叉性瘫痪、四肢瘫、纯偏身感觉障碍、偏瘫并偏身感觉障碍。结论脑干梗死的主要临床表现复杂多样,不典型病例早期诊断困难,MRI对脑干梗死早期诊断最有意义,CT不能确诊脑干梗死,但有助于排除脑干出血;介入及应用降纤制剂抗纤溶治疗急性脑干梗死其疗效优于非介入治疗。
Objective To investigate the clinical features, pathologic basis and image diagnostic charaterictics of brain-stem infarction to increase therapeutic Seventy-two patients with brain-stem infarction were diagnosed by CT or MRI, and they were divided into two groups： interventional treatment group and control group. The characteristic features of the lesion and the therapeutic results were analysed. Results Crossed hemiparalysis was in all the patients with medulla oblongata and midbrain infarction. The pontine infarction had a variety of clinical syndromes. In sum, they were crossed hemiparalysis, quadriplegia, simple hemidysesthesia,hemiparesis and hemiparesthesia. Conclusion The main clinical manifestation of brain-stem infarction is complicated and diversified, the atypical cases are difficulty to be diagnosed in earher period. MRI may help diagnosis at the early stage, but brain-stem hemorrhage can not be excluded by CT. The interventional treatment may get more good results than that of non-intervenient therapy.
出处
《实用心脑肺血管病杂志》
2007年第11期824-826,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
