摘要
目的探讨小脑梗死的病因、临床表现、影像学改变、诊断与治疗。方法对1999年9月-2006年9月芜湖市第一人民医院收治的26例小脑梗死患者的临床资料进行回顾性分析。结果男性19例,女性7例,45～79岁为高发年龄,病因及危险因素为:高血压、糖尿病、高脂血症、冠心病,最主要的临床表现为:眩晕、小脑性共济失调。结论小脑梗死极易误诊,通过详细神经系统检查,结合影像学检查是诊断小脑梗死的关键。且头颅MR I确诊小脑梗死优于头颅CT,一般采用内科保守治疗,病情严重者应外科手术,防治脑疝。
Objective To investigate the etiopathogenisis of cerebral infavction,its clinical manifestation, changes in imageology, diagnosis and therapy. Methods Clinical data of the 26 patients with cerebral infavction were retrospectively analyzed. Results 19 male patients and 7 female patients were 45-79 years old. Etiopathogenisis and risk factors were hypertension,diabetes mellitus, hyperlipemia and atrial fibrillation; the main clinical manifestation were circumgyration and cerebllar ataxia. Conclusion The criticality of diacrisising cerebral infarction was to taking the fully neurologic checks and imageology examinations,but the examination of skull MRI outweights the one of skull CT in the final diagnosis. Generally, the patients were treated by medical method. However, if the cases were serious, surgical method should be adopted to prevent and cure ventricle.
出处
《中华全科医学》
2010年第1期42-43,共2页
Chinese Journal of General Practice
关键词
小脑梗死
临床表现
影像学检查
论断
Cerebral infarction
Clinical manifestation
Imageology examination
Diagnosis
