一1042一论著MMI《现代医用影像学》2023年6月第32卷第6期不明原因急性弥漫性脑梗死的影像特点及常见病因王龙龙13，王警建，李娜，杨淑涵”，张明"，马洪鸽（通讯作者)1.西安市第九医院CT/MRI室（陕西西安710054）2.西安市第九医院疾病预防控制科（陕西西安3.西安交通大学第一附属医院医学影像科（陕西西安710061）【摘要】目的：探讨不明原因急性弥漫性脑梗死的影像特点及常见病因。方法：连续收集2018年1月至2020年12月份期间西安市第九医院收治的10例不明原因急性弥漫性脑梗死患者作为分析对象，对其临床疾病、影像学表现、实验室相关指标等临床资料进行分析。结果：纳入的10例患者中，胰腺癌2例，肺癌1例，外阴癌1例，泌尿系感染2例，嗜酸性粒细胞增多症1例，附件脓肿伴脓毒血症1例，烫伤1例，不明原因凝血异常1例。急性弥漫性脑梗死患者影像学表现为非分水岭、跨血管区域散发分布的急性小梗死灶，幕上大脑及幕下小脑、脑干均可发生，皮层下及深部白质均可受累。凝血功能指标显示D－二聚体水平升高。结论：不明原因急性弥漫性脑梗死的可能病因是各种疾病导致的血液高凝状态。关键词：弥漫性；急性脑梗死；影像特点；常见病因TheImageCharacteristicsandCommonCausesofUnexplainedAcuteDiffuseCerebralInfarctionWangLonglong'",WangJingjian',LiNa',YangShuhan',ZhangMing’,MaHongge'(correspondingauthor)1.DepartmentofCT/MRI,NinthHospitalofXian(Xian,Shaanxi710054)2.DepartmentofDiseasePreventionandControl,theNinthHospitalofXian(Xian,Shaanxi710054)3.DepartmentofRadiology,theFirstAffiliatedHospitalofXianJiaotongUniversity[Abstract]Objective:Toinvestigatetheimagecharacteristicsandcommoncausesofunexplainedacutediffusecerebralinfarction.Methods:Cllecting10casesofunexplainedacutediffusecerebralinfarctionastheinterventiongroup,analyzingtheclinicalinformation,imagecharacteristicsandlaboratoryindexes.Results:Among10cases,2casesofpancreaticcancer,1caseoflungcancer,1caseofvulvarcancer,2casesofurinarysysteminfection,1caseofeosinophilia,1caseofanadnexalabscesswithsepsis,1caseofempyrosis,1caseofidiopathichypercoagulability.Theimagingfeaturesofunexplainedacutediffusecerebralinfarctionwereasfollows:acutesmallinfarctwithnon-water-differentiatedandtransvasculardistribution,thesu...
