脑梗塞后出血与梗塞面积及预后的关系

摘要

To discover the relationship between hemorrhagic infarction（HI）and the volume of infarction and the influence of hemorrhage to the brain.49 cases with HI were found by CT scanning and 27 cases of them with large volume of infarction.Then 22 cases with large volume of infarction and without hemorrhage（NHI） were choiced as control group.At the beginning and the fourth week of the course，a clinical neurologic defect grade point was given for each group.The degree of the grade point decresed at the secondary examination was considered as the indicator of the recovery of brain function.This indicates that HI is more common in patients with large volume of brain infarction.Infarcted hemorrhage can affect the recovery of brain function.It is useful to prevent infarcted hemorrhage for the patients with brain infarction from his recovery.%为探讨脑梗塞后出血与梗塞面积及患者预后的关系，对49例出血性脑梗塞（HI）患者进行了CT动态观察（其中大面积脑梗塞出血27例），并与22例大面积非出血性脑梗塞（NHI）患者作对照，两组患者均在病初及病程第四周各进行临床神经功能缺损程度评分一次，以第二次的评分减少值作为判断脑功能恢复的指标。结果表明，脑梗塞面积越大，出血的可能性越大；HI患者的预后明显差于NHI患者。说明预防脑梗塞后出血对改善患者预后具有重要意义。