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脑出血系指各种原因引起的脑内血管破裂、脑实质内出血,而引起神经功能缺损为特征的一种脑血管病,多具有高血压病史,故又称高血压性脑出血。对于脑出血的诊断,典型者并不困难,但在小量出血、脑叶出血、症状轻微者常不易与缺血性中风相鉴别,而出血与缺血的治疗原则又恰恰相反,故正确的诊断对病人的处理十分重要。自CT应用于临床以来,已解决了脑出血与缺血的诊断问题,但由于CT尚未普及,因此,医生仍需按照临床症状、体征、病史特点和其它检查进行诊断。为了达到正确的诊断,医生必须做到详细询问病史,给病人进行全面的体检及必要的辅助检查。
Intracerebral hemorrhage refers to various causes of cerebral blood vessels rupture, intraparenchymal hemorrhage, and cause neurological deficits characterized by a cerebrovascular disease, and more with a history of hypertension, it is also known as hypertensive intracerebral hemorrhage. For the diagnosis of cerebral hemorrhage, the typical is not difficult, but in a small amount of bleeding, lobar hemorrhage, mild symptoms are often not easy to identify with ischemic stroke, and bleeding and ischemic treatment principles and exactly the opposite, so the correct Diagnosis of the patient’s treatment is very important. Since CT was applied clinically, the diagnosis of cerebral hemorrhage and ischemia has been solved. However, since CT is not yet widely available, doctors still need to make diagnosis according to clinical symptoms, signs, medical history and other tests. In order to achieve the correct diagnosis, the doctor must do a detailed medical history, give the patient a comprehensive physical examination and necessary auxiliary examination.