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目的分析不典型脑出血患者的临床症状及特点,以提高诊断准确率。方法不典型脑出血患者206例,对患者的临床资料进行回顾性分析,总结患者的临床特点及治疗方法。结果 206例患者中,额叶出血45例,顶叶出血27例,丘脑出血62例,颞叶出血52例,小脑出血20例;有31例发生误诊,误诊率为15.05%。经治疗后明显好转167例(81.07%),病情无变化37例(17.96%),死亡2例(0.97%)。结论临床医师应积极对不典型脑出血患者的临床特点进行总结,对疑似患者进行颅脑影像学检查或腰穿检查,并根据诊断结果及时采取有效疗法,从而有效提高不典型脑出血患者的预后质量。
Objective To analyze the clinical symptoms and features of atypical cerebral hemorrhage in order to improve the diagnostic accuracy. Methods A total of 206 patients with atypical cerebral hemorrhage were enrolled in this study. The clinical data of the patients were analyzed retrospectively. The clinical features and treatment of the patients were summarized. Results Of the 206 patients, 45 cases were frontal lobe hemorrhage, 27 cases were parietal lobe hemorrhage, 62 cases were thalamus hemorrhage, 52 cases were temporal lobe hemorrhage and 20 cases were cerebellar hemorrhage. There were 31 cases misdiagnosed with a rate of 15.05%. After treatment, 167 patients (81.07%) improved significantly, 37 patients (17.96%) had no change and 2 patients died (0.97%). Conclusion Clinicians should actively summarize the clinical features of patients with atypical intracerebral hemorrhage, brain imaging or lumbar puncture in suspected patients, and timely and effective treatment according to the diagnosis, so as to effectively improve the prognosis of patients with atypical cerebral hemorrhage quality.