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目的:研究老年人小量包裹性脑出血的临床特点与鉴别诊断。方法:通过对住院的62例老年人小量包裹性脑出血的临床资料与CT平片进行分析,并与同期住院的老年人脑出血、脑梗死各62例进行对比研究。结果:小量包裹性脑出血病人中,昏迷、头痛、呕吐、颈强及双侧巴氏征阳性的发生率较低,与老年人脑梗死相似;但在首次发病,活动时起病,起病时血压高等方面与老年人脑出血相似。结论:老年人发生中风时,如为首次发病,活动时起病,起病时血压高应首先考虑脑出血,并做脑CT证实。
Objective: To study the clinical features and differential diagnosis of small package cerebral hemorrhage in the elderly. Methods: The clinical data and CT plain radiographs of 62 cases of small cerebral hemorrhage in hospitalized elderly were analyzed and compared with 62 cases of cerebral hemorrhage and cerebral infarction. Results: The incidence of unconsciousness, headache, vomiting, neck stiffness and bilateral Papanicolaou in patients with ICH was lower than that in elderly patients with cerebral infarction. However, in the first incidence and activity, Sick high blood pressure and cerebral hemorrhage similar to the elderly. Conclusion: Stroke in the elderly, such as the first onset, activity onset, the onset of high blood pressure should first consider cerebral hemorrhage, and brain CT confirmed.