[doc] 50 例脑分水岭梗塞的临床分析

[doc] 50 例脑分水岭梗塞的临床分析 50 例脑分水岭梗塞的临床分析 50?? 50???;?W?k?????????k???W?? ???u???????? [????v;?????????;?W?k??????(CWI)?????????k??????v0?????????A?W??50?????k?? CT??????Cwi???C?????????k??????v0????CWI????????????????????v5?;???A???T?????r????v5 ???6??????v0????????18??(36%)?1?k???????????mv5?????f??????v5???????????A?z????;?????3?? 22??(44%)?1??????????????v5???D?A?f????????;?????i??10??(20%)?1???????????m?r?????f?? ??????v0????Cwi????????????????????????v5?????T?????r?????????6????v0 v%??????v;?;?W?k??????;????;?k?????? ?;?W?k??????(cerebralwatershedinfarct;Cwi)?u?I???f?D ?;???X?????T???????????(???????1?????????;?????? 10%vc]l]v0????????????v5???????T?;???A???T?????????r?? ????????Cwi???f????????????v0CTv5MRI?????3?????? Cwiv0???W?;??2003??7?)??2(X)6??12?)?U????50?? C???????W?????????iv0 1?????3???? 1.1???B?????N29???1??21??;????36??78???1???? 65.4??v0?????k??CT?rMRI????????????C??v0?T?????? 36???1???0????26???1??????18???1??????14???1???A???? ???42???1?????]??????2???1????????1???1???6?????8??1 ??v0???????????3?????????i??32??(?????????????8?D?? ????????v5????v5?z?k??)v0??CT?????]??(CTA)?r?????? ???????]??(DSA)?????????????T?r???????T????24??(?? ??16???1????8??)?1??????2??v0?.?A?????o??3???1?.?A ??????2???1????3???1???????8??1??v0 1.2?k???????B??????????14???1???o?????A?z??9???1 ???????????A?z??4???1???8?A?z??1??;????9???1?????? ??20???1?f??????16???1?????A????3???1????????6???1 Gelstmann???)??2??v0 1.3??????????50?????C?????k??CT?????1???o38?? ?????k??MRI????v0???o????CwI45??????Cwis??v0?? CT?????wCwi???????????????????1?????????t???????1?? ???;?r?1?r???;??v0?????i?????R??v5?????r????????v0MRI ????TIv5????????v0Bogousslavs???????????????????1?W cwl?W???T??[z]:????????:???????f???A?;?????T?3?A?; ?o???T?????u?????a?9?1?????????o??v0?B??18??(36%); ?????3?????????f???A?;?3???T?3?A?;?o???T?????u?????a ?9?1??????????????????v0?B??22??(44%);?????i?????? ???f???A?;?o???T?????u?3?????u?????a?9?1???????????? ???????;?????1?????%?????????r????????????v0?B??10?? (20%)v0 2???? ?;?W?k??????(cerebralwatershv0??????ct;Cwi)?u?I???f?D ?;???X?????T???????????(???????1?????????;??????10%??v0 ?k???????T???D????v5???D?3??v5?????D?i??v0Cwi?????? ????????CT?rM???????k??????v0CWI???????8???1???? ????Cwi???????????k???????T?????6??v0???????g???? ???9???????D??????v5?T?????????i??v5???4??v5?.???????? ?z????????vc]lJv0?B???????????1?????r????????????(24???1 ??58%)?????????????3??????(?????1??65%)??Cwi?? ?f??????????v0???????????????????(?u?;???T???????m?8 ???????1?????????(???Av5?ov5?6?????T?1???3?v?????????? ??v0?????????????z?A???6?1?????????8?????A?1?????????? ???????????????????????5v0?????????A?????????r?????3 ???i???1?l?4?????W?k???????????fv0???.?????U??????v5?? ???0v5???????????????]?1???;???T???r???????????f?????? ???1?1?c???????????T?????1?????f????????????v0?(?????? ???????????i??v5?T?????????????????????????????????u Cwi???f?????????]v0?????????????%v5????v5?z?k?????? ??????;???6?????8???C???????????????1?????????z???1?? ???T????????????;???U?(???e???????????????]?1???;Cwi ?????fv0 ?t???k???????????????1?(???k???????????3???????? ???T??v0???????????????w???????????m???????f???????? ???1?????????1?a?????[?????l?T?????A?????A?z??v0?????3 ?????????t???1???T???D?A?f???????1???f???]?1Gerstmann?? ?)?????1???m?????r??v0?????i?????????????????m?r???? ?f??????v5?8??????????v0 ?W?k???????????3???????1???B???????3?;???????1?1?? ?????????????????1???????????(?Wv0???????U??????v5???? ?0v5???????????????]?1???;???T???r???????????fv0?????( ?????????????????i??v5?T???????????????????????????? ???1???:Cwi?????fv0 ???[???g ???C????:453vwXX)?????5?????0?o?????? ?????i.?;?W?k????????CTI?????c??.?;?3?????????????12002?1 10(2):107??108. Bo??usslavskyJ.Unilateralwatershedcereb??infa?;ts.Neuro10gy?1 1986?136:373. ???9??.???A???????4?????D?i?W?k???;????1??.?o?????????? ???12?????139(9):586