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1、多发性脑梗死CT诊断和临床表现关系［摘要］目的探讨多发性脑梗死的CT诊断与临床表现的关系。方法搜集2007年6月〜2011年12月210例多发性脑梗死完整病例，通过CT表现，临床表现及血流动力学变化进行分析研究。结果多发性脑梗死CT影像表现2个以上脑实质低密度灶，CT值8〜22Hu,腔隙脑梗死直径小于2cm,大面积脑梗死直径大于2cm,临床表现常为高血压、糖尿病、头痛、头晕、运动障碍、锥体束征、构音障碍，偏身感觉障碍，而腔隙状态表现不明显。梗死灶分布依次为脑室体旁，豆状核、外囊、小脑、中脑、大面积多位于颖顶叶,其次额叶。结论CT诊断及临床表现均诊为多发脑
2、梗死的符合率41.0%,多发性脑梗死CT表现与临床表现综合分析才能准确诊断。［关键词］多发性脑梗死；断层摄影术；X线计算机；临床表现［中图分类号］R445.3［文献标识码］B［文章编号］2095-0616(2013)22-107-02CTdiagnosisandclinicoffreguentlyoccurringcerebralinfarctionCHENGWanliangDepartmentofCTIntervention，NewCenturyHospitalofJilinCity,Jilin132021,China[Abstract]Objecti
3、veToinvestiga/tetherelationshipbetweentheCTdiagnosisoffreguentlyoccurringcerebralinfarctionanditsclinicalmanifeston.MethodsThecompletehistoriesof210casesoffrequentlyoccurringcerebralinfarctionfromJunethroughDecember2011werecollectedandcomparativeanalyticalstudiesweredonethroughCT
4、manifestation,clinicalmanifestationsandhemodynamicchanges・ResultsTheCTimagesoffrequentlyoccrringcerebralinfarctionshowedmorethantwolowdensityfociincerebralsubstance,CTvalue8~22Hu.Thediametersofcerebrallacunarinfarctionwerelessthan2cmandthoseoflargeareacerebralinfarctionwerelarger
5、than2cm.Theclinicalmanifestationsoftenwerehypertension,diabetesmellitusheadache,dizziness,movementdisorder,pyramidalsign,soundproductiondisorder,hemiparethesia,whilethemanifestationsoflacunarstatewerenotapparent.Theinfarctionfociweredistributedinparaventriculararea,lenticularnucl
6、eus,externalcapsule,celebellumandmidbrainsuccessfully.Thelargeareafociwereoftenlocatedintemporoparietallobeandnextfrontailole・ConclusionThecoincidentrateindiagnosingfrequentlyoccurringcerebralinfarctionbyCTdiagnosisandclinicalmanifestationswas40.1%.SyntheticalanalysisofCTandclini
7、calmanifestationsisnecessaryforaccurateinfarctionsoffrequentlyoccurringcerebralinfarctiori.[Keywords]Frequentlyoccurringcerebralinfarction；Tomography；CT；Clinicalmanifestation多发性脑梗死指脑内梗死灶在2个以上，脑梗死是一种缺血性脑血管疾病，其发病率在脑血管病中占首位，主要有脑动脉闭塞性脑梗死，腔隙性脑梗死和脑栓塞等。CT表现各异，为探讨CT与临床表现关系，对210例多发性脑梗死病例C
8、T结果及临床表现进行研究，现报道如下。1资料与方法1.1一般资料搜集2007年6
