目的 探讨CT与MRI检查在脑梗塞 并脑出血诊断与疗效评价中的价值。方 法 选取我院2015年2月-2016年12月我院 经临床确诊的脑梗塞并脑出血患者56例， 患者均行CT及MRI扫描，收集患者影像学 资料及临床资料，对比患者MRI及CT检查 对脑梗塞并脑出血的检出结果，并分析病 人的出血部位、出血量以及对临床疗效进 行评价。结果 56例患者经CT扫描共检出 病灶46例，诊断准确符合率为82.14%，其 中出血部位位于基底节41例，位于丘脑 10例，位于小脑3例，位于脑干2例；MRI 扫描共检出病灶51例，诊断准确符合率为 91.07%，共检出72个出血灶，检出率为 100%。MRI、CT均能清晰显示患者术后情 况，对于术后复发的病灶显示为异常高信 号且边界不清。结论 MRI对脑梗塞并脑出 血检出率略高于CT，MRI、CT均能良好的 监测患者的术后恢复情况，均能良好显示 脑梗塞并脑出血的典型影像特征，具有一 定的疗效评价价值。

Objective To investigate the value of CT and MRI in the diagnosis and curative effect evaluation of cerebral infarction complicated with cerebral hemorrhage. Methods 56 patients with cerebral infarction and cerebral hemorrhage diagnosed by our hospital in February 2015-2016 December were selected, all patients underwent CT and MRI scanning. The imaging data and clinical data were collected, and the image manifestations of hepatic hemangioma in CT and MRI examination were analyzed,the results of MRI and CT examination in patients with cerebral infarction and cerebral hemorrhage were compared, and the bleeding site, bleeding volume and evaluate the clinical efficacy were analyzed. Results 56 patients underwent CT scan lesions were detected in 46 cases, the accurate diagnostic rate was 82.14%, the site of hemorrhage in the basal ganglia thalamus in 41 cases, 10 cases, 3 cases were located in the cerebellum, brain stem in 2 cases. MRI scan lesions were detected in 51 cases, the accurate diagnostic coincidence rate was 91.07%,a total of 72 bleeding foci were detected, with a detection rate of 100%. MRI and CT can clearly display the patient's postoperative situation, and the recurrence of the lesions showed abnormal high signal and unclear boundary. Conclusion The detection rate of MRI for cerebral infarction and cerebral hemorrhage is slightly higher than that of CT, MRI and CT can monitor the postoperative recovery of patients well, and can display the typical image features of cerebral infarction and cerebral hemorrhage, which has certain curative effect evaluation value.