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本文报告经CTs诊断的60岁以上的老年腔隙性脑卒中97例,其中,单纯LI76例脑内小灶出血10例,出血合并LI4例,大面积梗塞合并LI7例。76例LI中CTs示平均每例病灶1.71个,9例CTs(一),常见部位依次为底节区、内囊、侧脑室旁、额叶深部、丘脑等。血液流变学异常率为61.29%,依次为全血比粘度,血小板聚集,血浆比粘度等。均有程度不同的动脉硬化。高血压者65.79%。CTs所示病灶与临床类型两者缺乏明确对应关系,病证复杂多变。大多预后良好,但反复发作成为腔隙状态或表现为进展性卒中者,预后差。对Ls目前尚无特殊疗法,强调对CVD公认的危险因素进行一级预防。
This article reports 97 cases of lacunar stroke in the elderly over the age of 60 diagnosed by CTs. Among them, there were 10 cases of liquefaction in LI76, 4 cases of hemorrhage complicated with LI, and 7 cases of large infarction combined with LI. 76 cases of LI CTs showed an average of 1.71 cases per lesion, 9 cases of CTs (a), common sites followed by the bottom of the section, the inner capsule, lateral ventricle, frontal lobe, thalamus and so on. The abnormal rate of hemorheology was 61.29%, followed by whole blood specific viscosity, platelet aggregation and plasma specific viscosity. Have different degrees of atherosclerosis. Hypertension was 65.79%. CTs showed a clear lack of correspondence between the lesions and clinical types, complicated and variable disease. Most of the prognosis is good, but recurrent episodes of lacunar status or progressive stroke, poor prognosis. There are no specific therapies for Ls, emphasizing the primary prevention of CVD-recognized risk factors.