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目的 :探讨无肢体瘫痪脑出血的临床特点及原因。方法 :回顾性分析无肢体瘫痪脑出血 4 5例。结果 :4 0 1例经头颅CT证实的脑出血病人 ,4 5例无肢体瘫痪 ,其中脑叶出血 2 1例 ,出血破入脑室或脑室出血 7例 ,丘脑出血 8例 ,脑干出血 2例 ,小脑出血 5例 ,基底节区出血 2例。意识清晰 38例 ,头痛 2 0例 ,呕吐 11例 ,脑膜刺激征 13例。结论 :无肢体瘫痪脑出血的病人意识障碍少 ,临床症状轻 ,预后好 ,这可能与出血位于脑的静区、出血量较小、出血破入脑室及老年患者脑组织萎缩有关。
Objective: To investigate the clinical features and causes of cerebral hemorrhage without limb paralysis. Methods: Retrospective analysis of 45 cases without limb paralysis cerebral hemorrhage. Results: Among 401 cases of cerebral hemorrhage confirmed by skull CT, 45 cases had no limb paralysis, including 21 cases of cerebral lobe hemorrhage, 7 cases of bleeding or ventricular hemorrhage, 8 cases of thalamic hemorrhage, 2 cases of brainstem hemorrhage , 5 cases of cerebellar hemorrhage, 2 cases of basal ganglia hemorrhage. Consciousness 38 cases, headache 20 cases, vomiting in 11 cases, meningeal irritation in 13 cases. Conclusion: Patients without limb paralysis cerebral hemorrhage have less consciousness, less clinical symptoms and better prognosis. This may be related to the hemorrhage located in the quiet zone of the brain, the small amount of bleeding, the hemorrhage ruptured into the ventricles and the atrophy of brain tissue in elderly patients.