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目的 探讨幕下脑出血的临床特点及其预后。方法 回顾分析 36例幕下脑出血患者的病因、临床表现与预后资料。结果 36例中有高血压病史者 2 1例 ,发病时头晕、头痛、呕吐发生率分别为 6 9%、4 2 %、6 4 % ,意识障碍 19例 ,眼球运动障碍 18例 ,瞳孔异常 16例 ,偏瘫或四肢瘫 19例 ,共济失调 8例 ,病死率 39%。结论 幕下脑出血患者头晕、头痛、呕吐多见 ,意识障碍发生率高 ,瘫痪程度多不严重 ,病死率较高 ,存活者生活自理率高。
Objective To investigate the clinical characteristics and prognosis of subacute cerebral hemorrhage. Methods Retrospective analysis of etiology, clinical manifestations and prognosis of 36 patients with subceived cerebral hemorrhage. Results Twenty-six of the 36 patients had history of hypertension. The incidence of dizziness, headache and vomiting were 69%, 42%, 64%, 19 cases of disturbance of consciousness, 18 cases of eye movement disorder and 16 cases of pupillary abnormality Cases, hemiplegia or quadriplegia in 19 cases, ataxia in 8 cases, the mortality rate of 39%. Conclusions Patients with intracerebral hemorrhage under the screen have the symptoms of dizziness, headache and vomiting. The incidence of disturbance of consciousness is high, paralysis is not serious, the mortality rate is high, and the survival rate of survivors is high.