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本文报告经CT证实的高血压动脉硬化性脑出血100例,CT检查121次,共检出血肿103个。本组病例临床初诊符合率仅71％,而CT则不但可直接显示脑内血肿,并可确定其位置大小及有无破入脑室,认为CT应作为本病的首选辅助检查。通过对不同病人不同时期的CT检查及/或连续的CT动态观察,了解到血肿液化、吸收、囊变各阶段及血肿引起脑水肿的变化过程,从而指导临床诊疗。通过对其中30例脑室积血的临床症状和预后的分析,发现本病合并脑室积血的发生率是相当高的,其病死率远高于无脑室积血者,其死因与血肿破入脑室的途径及脑室内积血量有关。
This paper reports 100 cases of hypertensive arteriosclerosis cerebral hemorrhage confirmed by CT, CT examination 121 times, a total of 103 hematomas were detected. This group of patients with clinical initial coincidence rate of only 71%, while CT is not only direct display of intracerebral hematoma, and determine the size of its location and whether broken into the ventricle, that CT should be the first choice of the disease as an auxiliary examination. Through the CT examination of different patients at different stages and / or continuous CT dynamic observation of the hematoma liquefaction, absorption, cystic stages and hematoma caused by hematoma changes in the course to guide the clinical diagnosis and treatment. Through the analysis of 30 cases of clinical symptoms and prognosis of ventricular hemorrhage and found that the incidence of combined ventricular hemorrhage is very high, and its mortality was much higher than those without ventricular hemorrhage, the cause of death and hematoma ruptured ventricle Pathways and the amount of intraventricular hemorrhage.