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原发性脑室出血临床并非罕见,当以精神异常为突出表现时容易误诊。现将我们遇到的3例报告如下: 例1,男,70岁,入院前28小时突发精神异常,对问话反应迟钝、自言自语。查体:血压24/13kPa,神志清楚,定向障碍,精神错乱。言语迟缓,双眼底及十二对颅神经检查未见异常,颈部抵抗感明显,双侧锥体束征阴性。入院当日头颅CT扫描示:双侧侧脑室,第三、四脑室高密度影,确诊原发性脑室出血。经脱水剂、止血剂、镇静剂治疗后症状控制,住院35天治愈出院。
Primary ventricular hemorrhage clinical is not uncommon, when the mental abnormalities as a prominent performance easily misdiagnosed. Now we encounter three cases are as follows: Example 1, male, 70 years old, 28 hours before admission sudden mental disorders, unresponsive to the questioning, self-talk. Physical examination: blood pressure 24 / 13kPa, conscious, disorientation, confusion. Speech slow, double-ended eyes and twelve cranial nerves examination showed no abnormality, significant neck resistance, bilateral pyramidal tract sign negative. On the day of admission cranial CT scan showed: bilateral lateral ventricle, third and fourth ventricle high density, diagnosed primary ventricular hemorrhage. After dehydration, hemostatic agents, sedatives after symptom control, hospitalized 35 days cured.