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本文对经CT确诊的高血压性脑出血864例进行了研究。其中大灶性脑出血810例,占83.7％;小灶性脑出血致腔隙性综合征54例,占6.3％。年龄为43～85岁,平均64.5岁。通过临床与CT对比观察认为:小灶性脑出血可表现为腔隙综合征,极易误诊,应引起重视;对脑室出血、丘脑、小脑、脑干出血的诊断、治疗及预后判定要作具体分析;脑出血急性期死亡的主要原因是脑水肿致颅高压性脑疝。本研究对高血压性脑出血的诊断分型、治疗原则、预后判定提供了依据。
In this paper, 864 cases of hypertensive intracerebral hemorrhage confirmed by CT were studied. Among them, 810 cases of large focal cerebral hemorrhage, accounting for 83.7%; lacunar syndrome caused by focal cerebral hemorrhage in 54 cases, accounting for 6.3%. The age of 43 to 85 years old, average 64.5 years old. Through clinical and CT contrast observation: small focal cerebral hemorrhage can be manifested as lacunar syndrome, easily misdiagnosed, should pay attention to; ventricular hemorrhage, thalamic, cerebellum, brainstem hemorrhage diagnosis, treatment and prognosis to make a specific analysis ; The main cause of death in acute cerebral hemorrhage is cerebral edema caused by hypertensive cerebral hernia. This study provides a basis for the diagnosis and classification of hypertensive intracerebral hemorrhage, treatment principles and prognosis.