文档介绍：北京医学 Z 000 年第 Z Z 卷第 4 期- Z11-
腔隙性脑梗塞的与临床分析
李玉梅陈雯
摘要目的对 149 例腔隙性脑梗塞患者的头颅部分及临床特征作回顾性分
析方法根据临床表现进行分类观察病灶的部位大小及脑底的动脉系统血流速度的改变结
果本组患者发病年龄较大 63 1 有慢性高血压病史临床表现为复杂化多样化检查显示
腔隙灶以多发为主可反映椎基底动脉系统及颈内动脉系统的血管弹性及血流速度对腔隙
性脑梗塞的诊断有一定帮助但定位不甚准确结论是诊断腔隙性脑梗塞的最佳手段
关键词腔隙性脑梗塞超声多普勒检查
C CD and clinical manifestations of lacunar infarction
Lz Yzmez Chen Wen
( Beijing Fuxing ~ospital Beijing 100038D
Abstract Objective o analyze the characteristics of and and their ralations
With the clinical manifestations in lacunar infarction patients. Methods otally 149 patients With
lacunar infarction Were analyzed retrospectively. According to clinical manifestations classify the
data the location and size of the lesions and the arterial blood floW velocity at the base of the brain
Were observed. Results linical manifestations in these patients Were plex and varied. In
imaging the lacunar infarctions monly in multiple lesions. can detect the
floW velocity changes of vertebral basic arteries and internal carotid arteries Which can help the di-
agnosis. Conclusions We consider that is the best Way to diagnose lacunar infarction.
Key words Lacunar infarction
腔隙性脑梗塞由于病灶小临床表现缺病者 44 例颈椎病者 36 例冠心病者 Z8 例
乏特异性部分腔隙性脑梗塞患者无定位体其中有心房纤颤患者 10 例
征诊断困难故以往腔隙性脑梗塞的文献多二临床表现与类型
为病理报告近年来及 MRI 应用于临本组多数患者为急性或亚急性起病其
床使更多的腔隙性脑梗塞得以诊断现就我常见症状有头晕头痛一侧肢体麻木及无
院 149 例腔隙性脑梗塞患者的超声多力行走不稳构音障碍饮水呛咳吞咽困难
普勒检查( D 结果