300例腔隙性脑梗死临床资料回顾性分析
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摘要
目的：通过对腔隙性脑梗死(lacunar infraction, LI)患者的临床资料及影像学特征回顾性总结分析,来探讨腔隙性脑梗死的发病机制、发病特点和因素、症状学特征、定位诊断、超声影像学特点、并发症及预后,进一步增强对腔隙性脑梗死的全面认知,从而有效预防和早期干预治疗。方法：回顾性总结分析2010年5月至2010年12月在我院脑病脑病一科住院300例患者的临床资料,全部病例均经头颅MRI检查确诊,从年龄、性别等发病因素,高血压病、糖尿病和心脏疾病等危险因素,症状学,超声、影像学进行分析。结果：300例腔隙性脑梗死的平均发病年龄为67.98±10.17岁,性别分布男性多于女性,高血压病、糖尿病及冠心病为高危因素,MRI结果显示多发病灶居多,病灶多分布在底节区、小脑、脑干、丘脑等部位,临床类型以无症状型居多,有症状者主诉以头晕最多,颈部血管超声显示92%存在斑块,供血不足则以右侧椎动脉明显。结论：300例腔隙性脑梗死患者中60岁以上男性居多,吸烟对其可能有影响,高血压、糖尿病及心脏病对其发生影响很大,MRI上以多发病灶为主,主要集中在基底节等部位,颈部多有斑块存在,故在预防和早期干预治疗上,除注意生活和饮食习惯外,监测和管理好血压血糖尤为重要,并做好门诊及住院患者的随访登记,适时予以干预。
Objective:Tong of lacunar cerebral infarction (LI) patients lacunar infraction, clinical data were retrospectively analyzed and imaging characteristics, this paper discusses summary of lacunar cerebral infarction pathogenesis, clinical characteristic and factors, symptoms learning characteristics, positioning diagnosis, ultrasonic imaging features, complications and prognosis, further strengthens of lacunar cerebral infarction of the overall cognitive, thus effectively prevent and early intervention. Methods: Retrospective summary analysis in May 2010 to December 2010 encephalopathy in our hospital from encephalopathy subject hospital clinical data of 300 patients, all patients were diagnosed by head MRI. from age. gender,etc triggers, hypertension, diabetes and heart disease risk factors, symptoms, ultrasound, imaging study analyzed. Results:300 cases of lacunar cerebral infarction average onset ages for 67.98+10.17 years old men more than women, gender, hypertension, diabetes and coronary heart disease for high-risk factors, MRI showed multiple lesions in the majority, the distribution of lesions many sections, the cerebellum, brainstem, thalamus, clinical types to areas such as the majority, have no symptoms type by dizziness who complained of symptoms most, neck vascular ultrasound shows 92% exist in patches, vibe vertebral artery obviously is on the right.Conclusion:300 cases of lacunar cerebral infarction patients men over 60 of its majority, smoking may have some effect, high blood pressure, diabetes and heart attacks occur on its impact, mainly with multiple lesions on MRI, mainly in the basal ganglia, neck areas such as many plaques, reason in existence on prevention and early intervention, except note life and eating habits outside, monitoring and management good blood glucose, blood pressure is especially important and make outpatient and inpatient timely follow-up of registration, intervene.
Objective:Tong of lacunar cerebral infarction (LI) patients lacunar infraction, clinical data were retrospectively analyzed and imaging characteristics, this paper discusses summary of lacunar cerebral infarction pathogenesis, clinical characteristic and factors, symptoms learning characteristics, positioning diagnosis, ultrasonic imaging features, complications and prognosis, further strengthens of lacunar cerebral infarction of the overall cognitive, thus effectively prevent and early intervention. Methods: Retrospective summary analysis in May 2010 to December 2010 encephalopathy in our hospital from encephalopathy subject hospital clinical data of 300 patients, all patients were diagnosed by head MRI. from age. gender,etc triggers, hypertension, diabetes and heart disease risk factors, symptoms, ultrasound, imaging study analyzed. Results:300 cases of lacunar cerebral infarction average onset ages for 67.98+10.17 years old men more than women, gender, hypertension, diabetes and coronary heart disease for high-risk factors, MRI showed multiple lesions in the majority, the distribution of lesions many sections, the cerebellum, brainstem, thalamus, clinical types to areas such as the majority, have no symptoms type by dizziness who complained of symptoms most, neck vascular ultrasound shows 92% exist in patches, vibe vertebral artery obviously is on the right.Conclusion:300 cases of lacunar cerebral infarction patients men over 60 of its majority, smoking may have some effect, high blood pressure, diabetes and heart attacks occur on its impact, mainly with multiple lesions on MRI, mainly in the basal ganglia, neck areas such as many plaques, reason in existence on prevention and early intervention, except note life and eating habits outside, monitoring and management good blood glucose, blood pressure is especially important and make outpatient and inpatient timely follow-up of registration, intervene.
引文
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[20]邰胜,刘志华.70岁以上老年高血压合并腔隙性脑梗死患者动态血压特征.临床荟萃,2008,23(2)：91-93.
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