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近年来,我们在临床上经CT发现混合性中风27例,现报告如下1、临床资料 男19例,女8例。年龄最小47岁,最大76岁,平均62.2岁。有高血压病史者21例。睡眠中起病4例,活动中发病23例。起病时头痛10例,呕吐12例,昏睡4例,昏迷14例,抽搐发作4例,失语6例,偏瘫17例,四肢瘫5例,单瘫2例,脑膜刺激征10例。入院时血压增高16例,血糖增高者13例,血脂增高者7例,血粘度增高12例。心电图S—T段改变者9例,左室高电压7例。全部患者均于发病1周内CT扫描,显示出单个高密度的血肿,出血量15—66ml,周围有水肿带、各例尚有低密度且边缘欠清的梗塞灶,最大直径0.5—2.5cm,本组27例全部采用内科保守治疗,存活19例,死亡8例。
In recent years, we found 27 cases of mixed stroke clinically by CT, are as follows 1, the clinical data of 19 males and 8 females. The youngest 47 years old, maximum 76 years old, average 62.2 years old. There are 21 cases of history of hypertension. 4 cases of onset of sleep, activity in 23 cases. Onset of headache in 10 cases, vomiting in 12 cases, 4 cases of lethargy, coma in 14 cases, 4 cases of convulsions, aphasia in 6 cases, 17 cases of hemiplegia, quadriplegia in 5 cases, single paralysis in 2 cases, meningeal irritation in 10 cases. 16 cases of hypertension on admission, 13 cases of hyperglycemia, hyperlipemia in 7 cases, 12 cases of increased blood viscosity. ECG S-T segment changes in 9 cases, 7 cases of left ventricular high voltage. All patients within 1 week of onset of CT scan showed a single high-density hematoma, bleeding 15-66ml, with edema zone around, each case still has low density and margin of the infarction, the maximum diameter of 0.5-2.5cm The group of 27 patients were all treated with conservative treatment, 19 cases survived, 8 died.