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目的 了解出血性脑梗死的临床特点及影像学特征。方法 对20例出血性脑梗死病人,详细观察临床特点,并多次复查CT,必要时行增强扫描。结果 所有病例在治疗中出现临床症状加重(头痛、呕吐、偏瘫加重及意识障碍加深等),CT表现以不规则出血型改变为主,好发于大脑中动脉主干或其分支区,大片脑梗死尤心源性脑梗死表现更加典型。结论 脑梗死病人治疗后症状加重,CT表现不规则出血型改变者,应考虑本病。
Objective To understand the clinical features and imaging features of hemorrhagic cerebral infarction. Methods Twenty patients with hemorrhagic cerebral infarction were observed the clinical features in detail and CT was repeated many times. Results All cases had clinical symptoms aggravated (headache, vomiting, aggravated hemiplegia and impaired consciousness) in all cases. CT showed irregular hemorrhagic changes mainly in the middle cerebral artery trunk or its branches, and large cerebral infarction Particularly heart-shaped cerebral infarction performance is more typical. Conclusion Patients with cerebral infarction symptoms after treatment, CT irregular bleeding changes, should consider the disease.