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背景:丘脑出血患者不仅具有一般脑出血的基本特点,还出现多种症状及功能障碍,表现复杂多样,而CT,MRI对其具有较高的诊断价值。目的:探讨丘脑出血患者神经功能障碍特点,为临床诊断和康复提供依据。设计:以诊断为依据的回顾性分析。地点和对象:西安交通大学第一医院神经内科收治的丘脑出血患者66例,男36例,女30例,年龄48～74岁,平均61.8岁。方法:由所有作者收集资料,并对66例丘脑出血患者的临床表现和CT或MRI进行分析。结果:丘脑综合征31例,丘脑特殊症状群,如双眼凝视鼻尖34例,丘脑性失语16例,丘脑手8例,丘脑痛4例。结论:丘脑出血临床表现复杂,可表现为丘脑综合征,也可表现为丘脑的特殊症状群,这些特殊症状群对临床诊断具有特异性。
BACKGROUND: Patients with thalamic hemorrhage not only have the basic characteristics of general cerebral hemorrhage, but also have various symptoms and dysfunctions. Their performance is complex and diverse, while CT and MRI have high diagnostic value. Objective: To investigate the characteristics of neurological dysfunction in patients with thalamic hemorrhage and provide the basis for clinical diagnosis and rehabilitation. Design: Retrospective analysis based on diagnosis. Location and Subjects: 66 cases of thalamic hemorrhage admitted in Department of Neurology, the First Hospital of Xi’an Jiaotong University, 36 males and 30 females, aged 48-74 years (average 61.8 years). METHODS: Data were collected by all authors and analyzed for clinical manifestations and CT or MRI in 66 patients with thalamic hemorrhage. Results: There were 31 patients with thalamic syndrome and 34 patients with thalamic special syndromes, such as 34 eyes with nasal tip staring at both eyes, 16 patients with thalamic aphasia, 8 patients with thalamus and 4 patients with thalamic pain. Conclusion: The clinical manifestations of thalamic hemorrhage complex, can be manifested as thalamic syndrome, also can be expressed as a special group of symptomatic thalamic syndrome, these special syndromes are specific for clinical diagnosis.