Abstract
目的 分析出血性脑梗死(HI)的临床特点、影像学资料和临床处理,期望提高HI的诊断率及治愈率.方法回顾性分析38例HI临床诊治过程与影像学资料.结果 38例HI占同期脑梗死的9.2%,其中心源性脑梗死为66%,出血发生在第1周14例(37%),第2周17例(45%);出血与血压不稳定和血流再灌注有关,与抗凝剂不一定有因果关系.结论 HI的诊断主要是依靠CT或MRI,HI患者要复查CT或MRI,才能及早诊断及时调整治疗措施.预防并发症是对HI抢救的关键。
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