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急性偏瘫是老年人常见的一个症状,是多种病因所致的一种综合症.我们对100例老年人急性偏瘫的患者进行头颅 CT 检查,结果分析如下.一、临床资料本组100例,其中男性73例,女性27例;年龄60～84岁,平均年龄64.4岁.病程为5小时至10天。偏瘫肢体:左侧55例,右侧45例。肌力0～4级.偏瘫伴随症状:意识障碍(嗜睡)7例,面瘫35例,面瘫舌瘫25例,头痛8例,呕吐4例,偏身感觉减退14例,高血压30例,尿失禁4例,失语18例,精神障碍4例。二、结果100例中 CT 阳性96例(96%),阴性4例。阳性结果中脑血管病84例.其中脑梗塞56例,包括基底节区脑梗塞41例占梗塞组73.2%,脑叶梗塞15例占26.8%;脑出血25例,包括基底节区出血21例占出血组84.4%,丘脑出血2例占8%,脑叶出血2例占8%;出血性梗塞3例.另外尚有脑肿瘤7例,硬膜下血肿5例.
Acute hemiplegia is a common symptom of the elderly, is a syndrome caused by a variety of causes.We have 100 cases of acute hemiplegia elderly patients with head CT examination, the results are as follows.A clinical data of this group of 100 cases, There were 73 males and 27 females, aged from 60 to 84 years, with an average age of 64.4 years and a course of 5 to 10 days. Hemiplegia limbs: left 55 cases, right 45 cases. Muscle strength 0 to 4. Hemiplegia with symptoms: 7 cases of disturbance of consciousness (drowsiness), 35 cases of facial paralysis, facial paralysis 25 cases of headache, 8 cases of vomiting, 4 cases of vomiting in 14 cases, hypertension, 30 cases of hypertension, urine Incontinence in 4 cases, aphasia in 18 cases, mental disorders in 4 cases. Second, the results of 100 cases of CT positive in 96 cases (96%), negative in 4 cases. Positive results of cerebrovascular disease in 84 cases, including cerebral infarction in 56 cases, including basal ganglia infarction in 41 cases accounted for 73.2% infarction group, 15 cases of cerebral infarction accounted for 26.8%; cerebral hemorrhage in 25 cases, including basal ganglia hemorrhage in 21 cases Accounting for 84.4% of the bleeding group, 2 cases of thalamic hemorrhage accounted for 8%, 2 cases of lobar hemorrhage accounted for 8%; hemorrhagic infarction in 3. In addition there are 7 cases of brain tumors, 5 cases of subdural hematoma.