探讨多发性脑梗死临床表现与头脑 CT扫描结果的关系。方法　根据多发性脑梗死的临床表现、血流动力学变化与脑 CT扫描结果进行对比分析。结果　多发性腔隙梗死 (直径 <2 .0 cm)及大面积梗死 (直径 >2 .0 cm) ,其临床表现常为高血压、运动障碍、头晕、锥体束征、构音障碍、偏身感觉障碍 ,而腔隙状态表现不明显。梗死灶分布依次为脑室体旁、豆状核、外囊、小脑、中脑。结论　临床表现与 CT扫描均诊为多发性脑梗死的符合率为 36 .5 % ,说明多发性脑梗死应根据临床表现与 CT综合分析确诊 To investigate the relationship between the clinical manifestations of multiple cerebral infarction and brain CT scan results. Methods According to the clinical manifestations, hemodynamic changes and brain CT scan results of multiple cerebral infarction for comparative analysis. Results of multiple lacunar infarcts (diameter <2.0 cm) and large infarcts (diameter> 2.0 cm), the clinical manifestations of hypertension, dyskinesia, dizziness, pyramidal tract signs, dysarthria, partial Body sensory disturbances, while the performance of lacunar status is not obvious. Infarct distribution followed by ventricle body, lentiform nucleus, outer capsule, cerebellum, midbrain. Conclusions The coincidence rate of clinical manifestation and CT scan in patients with multiple cerebral infarction is 36.5%, indicating that multiple cerebral infarction should be diagnosed based on clinical manifestations and CT