近年我们遇到经CT确诊的12例出血性脑梗塞(HI),男8例,女4例。有高血压病史7例,心脏病史3例,高血压病合并心脏病史2例。现将我院用CT确诊HI的体会介绍如下: 一、发生率:病理报告脑梗塞后继发出血的发生率高于CT检查所见。有些尸检研究发现新近发生的脑梗塞中近30％有出血性改变。脑栓塞比血栓形成更易于继发出血,有的病理报告高达80％。心源性脑栓塞继发出血较常见。 In recent years, we encountered 12 cases of hemorrhagic cerebral infarction (HI) confirmed by CT, 8 males and 4 females. There are 7 cases of history of hypertension, history of heart disease in 3 cases, hypertension history of heart disease in 2 cases. Now my hospital with CT confirmed the experience of HI described below: First, the incidence: pathological reports of secondary bleeding after cerebral infarction is higher than the incidence of CT findings. Some autopsy studies found that nearly 30% of recent cerebral infarctions had hemorrhagic changes. Cerebral embolism is more likely to be secondary to bleeding than thrombus formation, with some pathological reports up to 80%. Cardiovascular secondary hemorrhage is more common.