摘要
目的探讨和研究不同临床表现的腔隙性脑梗死患者的临床资料,为临床诊断和治疗提供依据。方法选取本院近年来收治的74例腔隙性脑梗死患者的临床资料作为研究对象进行分析。结果患者在临床表现方面主要表现为运动性偏瘫,这在所有患者中占比重最大;影像学检查方面,具有临床症状的患者病灶部位基本都位于基底节区,无明显临床症状的患者病灶部位则主要位于基底节区以外的脑实质;有症状和无症状患者在其他伴发症状对比上,差异无统计学意义(P>0.05)。结论腔隙性脑梗死的患者临床表现主要以运动性偏瘫为主,表现为肢体功能障碍,而不同临床表现的患者在影像学检查结果上也存在一定差异,掌握其特点能够为临床诊断和治疗提供重要的参考价值。
Objective To discuss and study the clinical data of lacunar infarction patients with different clinical manifestations and to provide evidence for clinical diagnosis and treatment.Methods Extracted 74 cases of lacunar infarction patients received and cured in our hospital in recent years as research object.Results The clinical manifestations of the patients mainly showed the motor hemiplegia,which accounted the largest proportion of patients;in terms of the imaging ex amination,the focal area of the patients with clinical symptoms was basically lower than the basal ganglia,and the focal area of the patients with no obvious clinical symptoms was basically lower than the brain parenchyma that located outside the basal ganglia;Symptomatic as well as asymptomatic patients showed no obvious differences compared with other con comitant symptoms,without the statistical significances（P 0.05）.Conclusion The clinical manifestations of the lacunar infarction patients are mainly reflected by motor hemiplegia,with the symptom of limb function obstacles;While,the pa tients with different clinical manifestations have some differences concerning the results of imaging examination,whose characteristics can provide important reference value for clinical diagnosis and treatment.
出处
《中国当代医药》
2012年第29期30-31,共2页
China Modern Medicine
关键词
腔隙性脑梗死
影像学检查
临床依据
临床分析
Lacunar infarction
Imaging examination
Clinical evidence
Clinical analysis
