丘脑梗死患者的临床特点-论文.pdf

362·临床研究·PreventionandTreatmentofCardio—Cerebral-,耿昱[摘要]目的探讨丘脑梗死的临床特点,主要包括危险因素、临床表现、磁共振扩散加权成像(DiffusionWeightedImaging,DWI)的分布特点。方法回顾性收集本院神经内科2011年1月至2013年4月期间连续登记住院的28例丘脑梗死患者,所有患者分成单纯丘脑梗死组和联合丘脑梗死组,均进行头颅核磁共振检查证实为急性脑梗死,分析两组问危险因素、临床表现、DW1分布特点。结果单纯丘脑梗死组18例(%),最常见梗死部位为外下侧区(13,%),其次为后部区(3,%),前部区(2,%);联合丘脑梗死组10例(%),累及最多的区域为前部区(5,%),其次为外下侧区(4,%),其中有4例患者同时累计2个梗死区域。结论单纯丘脑梗死主要累及外下侧区及后部区,联合丘脑梗死主要累及前部区。[关键词]丘脑梗死;临床特点;DWI中图分类号:R743文献标识码:A文章编号:1009—816X(2013)05一o362一o4doi:.1009—,,GENGYu.￡n腓mofNeurology,ZhejiangProvincialPeople’SHospital,Zhej~ng310014,ChinalAbstractjObjectiveToexploretheclinicalcharacteristicsofthalamieinfarction,besidesriskfactors,clinicalfeaturesandtopo—graphicpatternsondiffusionweightedimaging(DWI).MethodsThemedicalrecordsofthalamicinfarctswhichhospitalizedinde·partmentofneurology,Zhejiangprovincialpeople’ShospitalwereretrospectivelycollectedfromJan2011toApril2013,enrolledato—:,clinicalmanifestation,,amongwhich18(%)wereisolatedthalamieinfarctsand10(%)binedthalamicinfar