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Results Metaphysis osteoporosis was observed on X-ray and CT in acute stage, the midsection of infarct of bone was isointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Small worm-eaten change and stippled calcification was observed on X-ray and CT in subacute stage, the infarct of bone was iso/hypointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Irregular and wriggle osteosclerosis was observed on X-ray and CT in chronic stage, was hypointensity on T1WI and T2WI.

结果 骨梗死急性期X线、CT表现为干骺端骨质疏松,MR T1WI骨梗死灶中央部分呈等至高信号,T2WI呈高信号,T1WI骨梗死灶边缘呈环形低信号,T2WI呈环形高信号;亚急性期X线、CT表现为小的虫噬样改变,伴有斑点状钙化,MR T1WI骨梗死灶呈等或低信号,T2WI呈等或稍高信号,T1WI骨梗死灶边缘呈环形低信号,T2WI呈环形高信号;慢性期X线、CT表现为不规则状、蜿蜒状骨质硬化,MR T1WI和T2WI均呈低信号。

Methods 216 patients with acute cerebroinfarction were classified into four subtypes according to the group of OCSP and the group of Adams seperately. The four subtypes of OCSP include TACI、PACI、POCI and LACI.

216例急性脑梗死根据OCSP和Adams分型分别分为4个亚型,前者为TACI、PACI、POCI和LACI;后者分为阴性组、腔梗组、小梗死组和大梗死组。

Results The rates of ECG abnormalities in group of OCSP were 95.45% for TACI、80.35% for PACI、62.50% for POCI and 48.54% for LACI.

216例急性脑梗死根据OCSP和Adams分型分别分为4个亚型,前者为TACI、PACI、POCI和LACI;后者分为阴性组、腔梗组、小梗死组和大梗死组。

Results The rates of ECG abnormalities in group of OCSP were 95.45% for TACI、80.35% for PACI、62.50% for POCI and 48.54% for LACI. The rates of ECG abnormalities in group of Adams were 83.72% for large infarction, 60.42% for small infarction,53.2% for lacunar infarction and 20% for no infarction.

结果 在OCSP分型中,TACI、PACI、POCI和LACI的心电图异常率分别是:95.45%、80.35%、62.50%和48.54%;在Adams分型中大梗死组、小梗死组、腔梗组和阴性组的心电图异常率分别是:83.72%、60.42%、53.23%和20%。

The relationship between each of four subtypes and ECG abnormalities was evaluated.Results The rates of ECG abnormalities in group of OCSP were 95.45% for TACI、80.35% for PACI、62.50% for POCI and 48.54% for LACI. The rates of ECG abnormalities in group of Adams were 83.72% for large infarction, 60.42% for small infarction,53.2% for lacunar infarction and 20% for no infarction.

结果 在OCSP分型中,TACI、PACI、POCI和LACI的心电图异常率分别是:95.45%、80.35%、62.50%和48.54%;在Adams分型中大梗死组、小梗死组、腔梗组和阴性组的心电图异常率分别是:83.72%、60.42%、53.23%和20%。

The four subtypes of OCSP include TACI、PACI、POCI and LACI. The four subtypes of Adams include no infarction,lacunar infarction、small infarction and large infarction .

216例急性脑梗死根据OCSP和Adams分型分别分为4个亚型,前者为TACI、PACI、POCI和LACI;后者分为阴性组、腔梗组、小梗死组和大梗死组。

Imageology examinations showed that most cerebral infarction were small infarction fous, which commonly located in lobe of brain, basal ganglia and capsula intema.

影像学检查显示脑梗死主要为多发小梗死灶,常见于脑叶、基底节、内囊。

Inflorescence spikelike, cylindrical, composed of spiny or bristly deciduous burrs arranged along an angular, often sinuous rachis; burrs sessile or with an obconical basal stipe, each composed of 1 or more sessile spikelets surrounded by an involucre of spines and bristles; bristles flexuous or more often spinous,± flattened, grooved on the outer face, united below, the degree of union varying from a small basal disk to a deep cupule, inner spines or bristles often ciliate around spikelets. Spikelets lanceolate, acute; glumes unequal, shorter than spikelet, lower sometimes suppressed; lower floret membranous, staminate or neuter; upper floret firmer, protogynous.

花序穗状,圆筒状,由落叶的毛刺沿着一具角安排的具刺的或具刚毛,通常波状的轴组成;毛刺无梗或具基部的倒锥状柄,每一个由1无梗或更多组成以总苞的刺和刚毛包围;或更多的刚毛曲折通常spinous,多少扁平,在外面上具凹槽,下面的合生,协会的度从一小的基部的花盘变化到一深的壳斗,小穗披针形,锐尖;不等长的颖片,短于小穗,降低有时压抑;更低的小花膜质,雄蕊花的或中性;坚定的上面小花,雌蕊先熟。

Small infarcts occur in the white matter and deep grey matter while the cerebral cortex is sparing.

患者脑部的白质和深层灰质中有多发性小梗死和弥散性脱髓鞘。

Early diagnosis of asymptomatic cerebral infarction is difficult, we analyzed the clinical features of 56 cases of ACI, MRI shows small lesions in relative silent area of brain stem, 85.7% of which in pons.

无症状脑干梗死早期诊断困难,为对其早期诊断,笔者分析了56例无症状脑干梗死的临床特点,MRI显示病灶小、相对静区,桥脑多见,占85.7%,且多合并半球梗死,占92.5%,或小脑梗死占10%,高血压、心脏病、糖尿病为其主要危险因素。

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