作　　者： (李国平）;

机构地区： 平顶山市鲁山县人民医院神经内科,河南鲁山467300

出　　处： 《哈尔滨医药》 2017年第4期304-306,共3页

摘　　要： 目的分析急性脑梗死患者脑微出血的发生率及相关危险因素。方法选取在我院进行治疗的急性脑梗死患者78例,使用MRI的自旋回波序列(SE)、快速自旋回波序列(FSE)、场回波序列(FE)、梯度回波(GRE)对患者进行扫描,分析急性脑梗死患者脑微出血的发生率及相关危险因素。结果经分析,活化部分凝血酶原时间(APTT)、凝血酶原时间(PT)、血小板、梗死次数、饮浓茶、心力衰竭、年龄、慢阻肺、高血压史、平均动脉压、腔隙性脑梗死、脑白质稀疏是引发脑微出血的因素,其中APTT、心衰、平均动脉压是脑微出血的独立危险因素。随着腔隙性脑梗死或脑白质稀疏严重程度增加,将提高脑微出血的发生率。结论 APTT、心衰、平均动脉压是急性脑梗死患者发生脑微出血的独立危险因素,且腔隙性脑梗死或脑白质稀疏严重程度将对脑微出血的发生率产生直接关系。 Objective To analyze the incidence and related risk factors of cerebral hemorrhage in patients with acute cerebral infarction.Methods 78 patients with acute cerebral infarction patients treated in our hospital,the spin echo sequence using MRI （SE）, fast spin echo sequence （FSE）, field echo （FE）sequence, gradient echo （GRE）scan of patients, analysis of brain microbleeds in patients with acute cerebral infarction incidence and related risk factors.Results Activated partial thromboplastin time （APTY）, prothrombin time （PT）, platelet, infarction number, drinking tea, heart failure, chronic obstructive pulmonary disease, age, history of hypertension, mean arterial pressure, lacunar infarction, leukoaraiosis is cause of cerebral microbleeds, including APTY, heart failure, average artery pressure is the independent risk factors for cerebral microbleeds.With lacunar infarction and leukoaraiosis severity increased,will increase the incidence of cerebral mierobleeds.Conclusion AprfT, heart failure, mean arterial pressure in patients with acute cerebral infarction occurred cerebral mierobleeds were independent risk factors of lacunar infarction and leukoaraiosis or severity of cerebral microbleeds have a direct relationship between the incidence of.

关 键 词： 急性脑梗死 脑微出血 发生率 相关危险因素