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目的探讨出血性脑梗死的发病机理与预后。方法对我科１９９２年１０月－１９９９年１月收治的２０例出血性脑梗死患者进行回顾分析。结果２０例出血性脑梗死均经ＣＴ证实，发病时表现为大面积脑梗死。经治疗基本痊愈 ５例，显著进步７例，进步４例，死亡４例。结论大面积脑梗死容易导致出血性脑梗死。其预后主要取决于梗死的部位。范围及合并症等，只要不发生梗死区大量出血，梗死后出血对预后无明显影响。
Objective To investigate the pathogenesis and prognosis of hemorrhagic cerebral infarction. Methods 20 cases of hemorrhagic cerebral infarction admitted to our department from October 1992 to January 1999 were retrospectively analyzed. Results 20 cases of hemorrhagic cerebral infarction were confirmed by CT, the onset of a large area of cerebral infarction. After treatment basically cured in 5 cases, a significant improvement in 7 cases, 4 cases of progress, 4 cases of death. Conclusion Large area cerebral infarction easily lead to hemorrhagic cerebral infarction. The prognosis depends mainly on the infarct site. Range and comorbidities, as long as a large number of bleeding does not occur infarct area, the post-infarction hemorrhage no significant effect on prognosis.