Hemorrhagic cerebral infarction: clinical observation of 16 cases

Objective To investigate the pathogenesis, clinical manifestations, diagnosis and treatment methods of hemorrhagic cerebral infarction, to improve awareness of the disease. Methods A retrospective analysis of clinical data in 16 cases of hemorrhagic cerebral infarction was performed. These patients had a clear history of hypertension , and their MRI examination within 4h before the onset of thrombolytic therapy revealed signs of cerebral infarction. CT showed signs of intracranial hemorrhage in 15 cases 3 days after thromblysis and in 1 case 6 days after thromblysis. Three of them had hematoma greater than 30 ml. Results No deaths was found in 16 cases. Three cases undergoing minimally invasive hematoma aspiration survived in good condition 30 days after surgery. GCS score showed 9 to 11 scores in 11 cases, 12 to 15 scores in 5 cases. Conclusion Hemorrhagic cerebral infarction mainly occurred in 3 days after cerebral infarction. Too high or too low blood pressure, bleeding tendency, improper application of thrombolytic agents are the risk factors. Defining disease process and timely imaging diagnosis are premise to reduce mortality. Monitoring coagulation during thrombolytic therapy, positire hemostasis after bleeding, using drugs of reducing intracranial pressure and necessary surgery is the key to improving the efficacy.