文档介绍：新疆医科大学硕士学位论文
300 例腔隙性脑梗死临床资料回顾性分析
研究生:王玉琴导师:刘远新副教授
摘要
目的:通对腔隙性脑梗死(lacunar infraction,LI)患者的临床资料及影像学特
征回顾性总结分析,来探讨腔隙性脑梗死的发病机制、发病特点和因素、症状学特征、
定位诊断、超声影像学特点、并发症及预后,进一步增强对腔隙性脑梗死的全面认
知,从而有效预防和早期干预治疗。方法:回顾性总结分析 2010 年 5 月至 2010 年
12 月在我院脑病脑病一科住院 300 例患者的临床资料,全部病例均经头颅MRI检查
确诊,从年龄、性别等发病因素,高血压病、糖尿病和心脏疾病等危险因素,症状
学,超声、影像学进行分析。结果:300 例腔隙性脑梗死的平均发病年龄为 ±
岁,性别分布男性多于女性,高血压病、糖尿病及冠心病为高危因素,MRI 结
果显示多发病灶居多,病灶多分布在底节区、小脑、脑干、丘脑等部位,临床类型
以无症状型居多,有症状者主诉以头晕最多,颈部血管超声显示 92%存在斑块,供
血不足则以右侧椎动脉明显。结论:300 例腔隙性脑梗死患者中 60 岁以上男性居多,
吸烟对其可能有影响,高血压、糖尿病及心脏病对其发生影响很大,MRI 上以多发
病灶为主,主要集中在基底节等部位,颈部多有斑块存在,故在预防和早期干预治
疗上,除注意生活和饮食****惯外,监测和管理好血压血糖尤为重要,并做好门诊及
住院患者的随访登记,适时予以干预。
关键词:腔隙性脑梗死;高血压病;糖尿病;磁共振成像
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新疆医科大学硕士学位论文
300 cases of lacunar cerebral infarction clinical
data were analyzed retrospectively
Postgraduate: Wang Yuqin Supervisor: Prof. Liu Yuanxin
Abstract
Objective: Tong of lacunar cerebral infarction (LI) patients lacunar infraction,
clinical data were retrospectively analyzed and imaging characteristics, this paper
discusses summary of lacunar cerebral infarction pathogenesis, clinical characteristic and
factors, symptoms learning characteristics, positioning diagnosis, ultrasonic imaging
features, complications and prognosis, further strengthens of lacunar cerebral infarction of
the overall cognitive, thus effectively prevent and early intervention. Methods :
Retrospective summary analysis in May 2010 to December 2010 encephalopathy in our
hospital from encephalopathy subject hospital clinical data of 300 patients, all patients
were diagnosed by head MRI, from age, gender, etc triggers, hypertension, diabetes and
heart disease risk factors, symptoms, ultrasound, imaging study analyzed. Results:300
cases of lacunar cerebral infarction average onset ages for + years old men
more than women, gender, hypertension, diabetes and coronary heart disease for high- risk
factors, MRI showed multiple lesions in the majority, the distribution of lesions many
sections,