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出血性脑梗死34例临床分析

Clinical analysis of 34 patient with hemorrhagic infarction
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摘要 目的探讨出血性脑梗死患者的临床特点、病因及其预后。方法回顾性分析34例出血性脑梗死患者的临床资料。结果合并冠心病、心房纤颤、糖尿病、高血压等是出血性脑梗死的常见原因。本组脑梗死后2周内发生出血26例,发生出血性脑梗死后原有症状加重,经治疗后预后良好22例,但大量出血者仍需手术治疗,预后不良。结论出血性脑梗死是影响患者生存的严重并发症。应动态观察CT,及时诊治可改善其预后。 Objective To investigate the clinical characteristic,cause of disease and prognosis of the patients with hemorrhagic infarction.Methods The clinical material of 34 patients with hemorrhagic infarction were retrospectively analyzed.Results Merging coronary atherosclerotic heart disease,atrial fibillation,diabetes mellitus,hypertension and so on were the common reasons of hemorrhagic infarction.26 patients hemorrhage within two weeks after the Infarction.22 examples patients' symptoms were deteriorated after the hemorrhagic infarction.After the treatment,the prognosis is favorable in 22 cases.If the hemorrage quantity is big,they still needed surgery treatment,and the prognosis is not good.Conclusion Hemorrhagic infarction is the sercious complication which affects patients' survives,and they needs the dynamic observation with CT.The prompt diagnoses and treament can improve its prognosis.
作者 方道顺 苏勇
出处 《华中医学杂志》 2009年第2期62-63,共2页 Central China Medical Journal
关键词 出血性脑梗死 回顾性研究 预后 Hemorrhagic infarction Retrospective studies Prognosis
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