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1、-新疆医科大学硕士学位论文300例腔隙性脑梗死临床资料回顾性分析研究生:王玉琴导师:刘远新副教授摘要目的:通对腔隙性脑梗死(lacunarinfraction,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
2、、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
3、为重要,并做好门诊及住院患者的随访登记,适时予以干预。关键词:腔隙性脑梗死;高血压病;糖尿病;磁共振成像1---新疆医科大学硕士学位论文300casesoflacunarcerebralinfarctionclinicaldatawereanalyzedretrospectivelyPostgraduate:WangYuqinSupervisor:Prof.LiuYuanxinAbstractObjective:Tongoflacunarcerebralinfarction(LI)patientslacunarinfraction,clinicaldatawerere
4、trospectivelyanalyzedandimagingcharacteristics,thispaperdiscussessummaryoflacunarcerebralinfarctionpathogenesis,clinicalcharacteristicandfactors,symptomslearningcharacteristics,positioningdiagnosis,ultrasonicimagingfeatures,complicationsandprognosis,furtherstrengthensoflacunarcerebralin
5、farctionoftheoverallcognitive,thuseffectivelypreventandearlyintervention.Methods:RetrospectivesummaryanalysisinMay2010toDecember2010encephalopathyinourhospitalfromencephalopathysubjecthospitalclinicaldataof300patients,allpatientswerediagnosedbyheadMRI,fromage,gender,etctriggers,hyperten
6、sion,diabetesandheartdiseaseriskfactors,symptoms,ultrasound,imagingstudyanalyzed.Results:300casesoflacunarcerebralinfarctionaverageonsetagesfor67.98+10.17yearsoldmenmorethanwomen,gender,hypertension,diabetesandcoronaryheartdiseaseforhigh-riskfactors,MRIshowedmultiplelesionsinthemajority
7、,thedistributionoflesionsmanysections,thecerebellum,brainstem,thalamus,clinicaltypestoareassuchasthemajority,havenosymptomstypebydizzinesswhocomplainedofsymptomsmost,neckvascularultrasoundshows92%existinpatches,vibevertebralarteryobviouslyisontheright.Conclusion:300casesoflacun