CT血管造影在大面积脑梗死并发恶性脑水肿的应用价值

发布时间：2018-08-11 13:30

【摘要】：目的探讨CT血管造影评估大面积脑梗死致恶性脑水肿(MBE)的临床可行性。方法回顾性分析56例大面积脑梗死患者。入院12 h内行CT平扫和CTA检查。根据患者脑水肿程度不同,分成MBE组和非MBE组。分析两组的临床特征,利用NIHSS、ASPECT、CS评分,以确定MBE的危险因素。结果有21例患者诊断为MBE,3 m时与非MBE组比较预后不良。两组NIHSS、ASPECT、CS评分比较有明显的统计学差异。多因素Logistic回归分析影响MBE的危险因素表明,基于CTA图像测定的血管狭窄率≥70%、NIHSS评分17和CS2与MBE显著相关。结论 CT血管造影用于评估大面积脑梗死并发恶性脑水肿有一定的应用价值。
[Abstract]:Objective to evaluate the clinical feasibility of CT angiography in evaluating malignant cerebral edema (MBE) caused by large area cerebral infarction. Methods 56 patients with large area cerebral infarction were retrospectively analyzed. Plain CT scan and CTA examination were performed within 12 hours after admission. According to the degree of cerebral edema, patients were divided into MBE group and non-MBE group. The clinical features of the two groups were analyzed and the risk factors of MBE were determined by using the NIHSS ASPC CS score. Results there were 21 patients who were diagnosed as MBE 3 m and had poor prognosis compared with the non-MBE group. There was significant statistical difference between the two groups in NIHSS and ASPECT CS scores. Multivariate Logistic regression analysis showed that the vascular stenosis rate 鈮，

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