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原发性高血压桥脑出血,常因突然发病,症状严重,病情凶险而死亡。自CT脑扫描在临床上广泛应用以来,我们成功治疗两例桥脑出血,报告如下。例1,男性,72岁,因慢性气管炎,阻塞性肺气肿住院治疗中,突然出现呕吐,右侧肢体无力。检查意识清,无言语定向障碍,双瞳孔等大,约3.5mm,光反应敏感,双眼球运动除左外展欠充分外,其余各方向运转自如,无复视眼震。面部表情呆扳,右鼻唇沟浅,轻度呛咳,双侧咽反射迟钝,舌居中,其余颅神经正常。深浅感觉无障碍,右肌力稍弱,Barre征(+),其余肌力正常。双上肢肌张力呈
Pontine primary hemorrhage, often due to sudden onset, severe symptoms, dangerous condition and death. Since CT brain scan widely used in clinical, we successfully treat two cases of pontine hemorrhage, the report is as follows. Example 1, male, 72 years old, due to chronic bronchitis, obstructive emphysema hospitalized, sudden vomiting, right limb weakness. Examination of consciousness clear, silent speech disorder, double pupil and other large, about 3.5mm, photoreceptor sensitivity, both eyes in addition to left eyeball movement less than full, the rest of the operation freely, without diplopia. Facial expression stay pull, right nasolabial fold shallow, mild cough, bilateral pharyngeal reflex, tongue center, the rest of the cranial nerves normal. Barrier-free feeling of the depth, the right muscle weakness, Barre sign (+), the rest of muscle strength normal. Double upper limb muscle tension was