脑梗死的临床分析与研究

http://www.100md.com 2008年10月15日 中国医药导报2008年第29期

     [摘要] 目的：通过对112例脑梗死的临床特征分析，探讨其预防措施。方法：通过头颅CT或MRI、经颅多普勒(TCD)、颈动脉彩色超声及生化等检查，分析其主要危险因素和发病部位。结果：112例脑梗死患者中，高血压90例，占80%；脑动脉硬化84例，占75%；基底节区多发性腔梗72例，占64%；基本治愈16例，显著进步56例，进步26例，无变化10例，恶化4例。结论：脑梗死是中老年人的多发病，有复发率、致残率高，治愈率低的特点，也是可以预防的疾病，各级医院应形成网络化服务，做好防治工作。

    [关键词] 脑梗死；危险因素；预防

    [中图分类号] R742 [文献标识码]B[文章编号]1673-7210(2008)10(b)-167-02

    Clinical research of cerebral infarction

    ZHANG Feng-hua

    (The First People's Hospital of Changtu in Liaoning Province,Changtu112500,China)

    [Abstract] Objective:To investigate preventive measures by analysis of clinical features of 112 cerebral infarction cases.Methods：Loci and risk factors of cerebral infarction were studied through brain CT or MRI,TCD,carotid artery ultrasound and biochemical examination. Results:112 cerebral infarction cases, there were 90 persons with hypertension(80%) , 84 of which with cerebral atherosclerosis(75%) and 72 with multiple lacunar infarction of basilar area(64%) after treatment；16 patients were cured, 56 patients were improved significantly, 6 patients were improved 10 were without change and 4 deteriorated. Conclusion：Infarction is the most common disease in the middle aged and the old aged persons with high recurrence disability and low cure rate. But it can also be intervened, community medical services should be formed to do the work of prevention and cure well. ......
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    张凤华 辽宁省铁岭市昌图县第一人民医院;

    【摘要】目的:通过对112例脑梗死的临床特征分析,探讨其预防措施。方法:通过头颅CT或MRI、经颅多普勒(TCD)、颈动脉彩色超声及生化等检查,分析其主要危险因素和发病部位。结果:112例脑梗死患者中,高血压90例,占80%;脑动脉硬化84例,占75%;基底节区多发性腔梗72例,占64%;基本治愈16例,显著进步56例,进步26例,无变化10例,恶化4例。结论:脑梗死是中老年人的多发病,有复发率、致残率高,治愈率低的特点,也是可以预防的疾病,各级医院应形成网络化服务,做好防治工作。

    【关键词】 脑梗死 危险因素 预防

    【分类号】R743.3

    脑梗死(Cerebral Infarction,CI)是严重危害人类健康的急性脑血管病之一,尤其对中老年人是重要的致死或致残原因[1]。了解脑梗死的危险因素和临床特点,重视其预防是我们基层医院的工作重点。现对我院2005～2007年收治的112例脑梗死患者临床特征报道如下:1资料与方法1.1一般资