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本文通过31例青年人自发性脑出血(SICH)临床分析,认为(1)青年人SICH多在脑血管病变基础上发生,且大多发生于脑叶。(2)CT对脑出血诊断率高,并能提示病因;而脑血管造影对病因诊断意义尤大,如为阴性,手术取出血肿后要仔细检查并作病理检查,以排除隐匿性血管畸形。(3)手术清除血肿同时根治原发病灶,可去除隐患,避免再出血。(4)青年人SICH的预后主要取决于意识障碍的程度、出血量、出血部位及病因。
In this paper, 31 cases of young people with spontaneous cerebral hemorrhage (SICH) clinical analysis, that (1) young people more than SICH cerebral vascular lesions occurred, and most occurred in the brain lobe. (2) CT diagnosis of cerebral hemorrhage rate, and can prompt the cause; and cerebral angiography on the etiological diagnosis is particularly significant, if negative, after surgery to remove the hematoma to be carefully examined and pathological examination to rule out occult vascular malformations. (3) surgery to remove the hematoma at the same time cure the primary lesion, can remove the hidden danger and avoid further bleeding. (4) The prognosis of young people with SICH mainly depends on the degree of disturbance of consciousness, the amount of bleeding, the site and cause of bleeding.