不典型脑干梗死临床特点分析.docVIP

不典型脑干梗死的临床特点分析 　　[摘要] 目的 研究不典型脑干梗死的临床特点，分析发病部位、影像学特点，为临床治疗提供理论支持。方法 便利选取2016年6月―2017年6月该院神经内科收入治疗的50例不典型脑干梗死患者展开研究，分别采用CT检查与MRI检查对不典型脑干梗死的检出率进行对比，回顾性分析患者临床资料、影像学资料，并进行比较。结果 不典型脑干梗死患者与典型脑干梗死患者临床表现具有明显区别，且CT检查桥脑病灶检出率为12.00%明显低于MRI检出率（70.00%），差异有统计学意义（P0.05）。结论 不典型脑干梗死患者临床表现与大脑半球梗死特点类似，影像学检查可明确病灶位置和梗死面积，明确不典型脑干梗死的特点对临床治疗具有指导意义。 　　[关键词] 不典型脑干梗死；临床资料；影像学 　　[中图分类号] R743 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0068-03 　　Analysis of Clinical Features of Atypical Brainstem Infarction 　　WANG Hong-xia 　　Department of Neurology， Zhongguancun Hospital， Beijing， 100190 China 　　[Abstract] Objective To research the clinical features of atypical brainstem infarction and analyze the lesion sites and imaging features thus providing theoretical support for the clinical treatment. Methods 50 cases of patients with atypical brainstem infarction treated in our hospital from June 2016 to June 2017 were convenient selected and the test rate of atypical brainstem infarction by the CT examination and MRI examination was compared and the clinical data and imaging data of patients were retrospectively analyzed and compared. Results The clinical manifestations of atypical brainstem infarction patients and typical brainstem infarction patients has an obvious difference， and the test rate of CT examination of pontine？lesions was obviously lower than that of MRI， （12.00% vs 70.00%）， and the difference was obvious with statistical significance（P0.05）. Conclusion clinical manifestations of atypical brainstem infarction patients are similar to the features of cerebral hemisphere infarction patients and the imaging examination can make sure the lesion site and infarction？area and the guidance significance of atypical brainstem infarction features to the clinical treatment. 　　[Key words] Atypical brainstem infarction； Clinical data； Imaging 　　脑干梗死主要是因为椎基底动脉以及相关分支血管?M窄或闭塞导致大脑发生缺血坏死而引起的疾病，临床常伴随神经系统症状，脑干梗死通常占脑梗死的20.0%～30.0%[1]。典型的脑干梗死患者常伴随复视、眩晕、吞咽困难、构音障碍、交叉性瘫痪、呛咳、四肢瘫痪等。脑干梗死的部位具有特殊性，普通CT检查容易漏诊，但因为MR