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一般认为原发桥脑出血典型临床表现为突然昏迷、瞳孔缩小、四肢瘫及高热,常短期死亡。CT 问世后,对桥脑出血认识进一步深化。临床症状不典型,症状、体征轻,预后良好的病例并非少见。我院近几年经 CT证实良性原发性桥脑出血5例,报道如下。例1女,78岁。洗澡时突然左侧肢体无力伴言语不清12小时于1992年12月29日入院。呕吐咖啡色液体,小便失禁。否认高血压病史。体格检查:嗜睡,T36.5℃,BP19/11kPa,心、肺正常,双瞳孔等大(约
Is generally believed that the typical clinical manifestations of primary pontine hemorrhage is a sudden coma, miosis, quadriplegia and hyperthermia, often short-term death. After the advent of CT, understanding of pontine hemorrhage further deepened. Clinical symptoms are not typical, symptoms, signs of light, the prognosis is not uncommon cases. In recent years, our hospital confirmed by CT in 5 cases of benign primary pontine hemorrhage, reported as follows. Example 1 Female, 78 years old. Suddenly bathing when the left limb weakness with vague words 12 hours on December 29, 1992 admission. Vomit brown liquid, urinary incontinence. Denied the history of hypertension. Physical examination: lethargy, T36.5 ℃, BP19 / 11kPa, heart, lung normal, double pupil and other large (about