论文部分内容阅读
出血性脑血管病是老年人常见疾病,而以上消化道出血为首发临床表现,易误诊、漏诊。如未及时诊断和恰当处理,常使病情恶化、甚至死亡。本文报告6例,加以分析.1 临床资料 1993年10月—1994年10月,在我院住院的出血性脑血管病患者,以上消化道出血为首发症状共6例,男4例,女2例.年龄52—70岁,平均63.1岁。其中有高血压病史4例;活动或劳累后发病4例,情绪激动发病1例;酒后发病1例,头颅CT检查前,诊断上消化道出血。临床表现:呕吐鲜血4例,呕吐咖哮样物2例。伴剧烈头痛2例,尿失禁3例。入院时意识清3例,嗜睡2例,浅昏迷2例;入院时面瘫5例,瘫肢肌力:0—Ⅰ级3例,Ⅱ—Ⅲ级2例;不完全运动性失语1例,半身感觉障碍2例,
Hemorrhagic cerebrovascular disease is a common disease in the elderly, and more than the first clinical manifestations of gastrointestinal bleeding, misdiagnosis, missed diagnosis. If not diagnosed and properly treated, often make the condition worse, and even death. This article reports 6 cases, to be analyzed.1 Clinical data October 1993 - October 1994, hospitalized patients with hemorrhagic cerebrovascular disease in our hospital, the above symptoms of gastrointestinal bleeding were 6 cases, 4 males and 2 females Cases of age 52-70 years old, average 63.1 years old. Among them, there were 4 cases of history of hypertension, 4 cases of active or exertion, 1 case of emotional agitation, 1 case of alcoholism and diagnosis of upper gastrointestinal bleeding before CT examination. Clinical manifestations: vomiting blood in 4 cases, 2 cases of vomiting coffee asthma samples. With severe headache in 2 cases, urinary incontinence in 3 cases. There were 3 cases of consciousness on admission, 2 cases of drowsiness, 2 cases of superficial coma, 5 cases of facial paralysis on admission, muscle strength of paralyzed limbs: 3 cases of grade 0-Ⅰ, 2 cases of grade Ⅱ-Ⅲ, 1 case of incomplete motor aphasia, 2 cases of sensory disturbance,