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脑叶出血又称半球皮质下白质出血。随着CT的使用,诊断水平显著提高,发现脑叶出血在脑出血中并非少见。我科1983～1985年底收治经CT扫描证实脑出血70例,其中CT检出19例及脑血管造影1例确诊为脑叶出血,占脑实质出血的28.5％。现将其临床与CT分析报告如下。一、临床资料 1.一般资料:男11例,女9例。最小12岁,最大82岁,平均47.5岁。16例在白天日常生活工作中突然发病,4例在夜间渐进性发病。发病诱因绝大多数为情绪激动,过度劳累,饮酒,排尿等;个别在夜间安静时起病。 2.临床表现:发病时血压升高者14例(血压200～230/100～140),均有高血压病史5～20年。起病后意识障碍11例(嗜睡10例,浅昏迷1例),意识清醒9例。头痛11例,呕吐10
Lobular hemorrhage, also known as hemispheric white matter hemorrhage. With the use of CT, the diagnostic level was significantly increased and it was not uncommon to find that cerebral lobar hemorrhage was found in cerebral hemorrhage. Our department from 1983 to the end of 1985 admitted to 70 cases of cerebral hemorrhage confirmed by CT scan, CT in which 19 cases and cerebral angiography was diagnosed as cerebral hemorrhage, accounting for 28.5% of cerebral parenchymal hemorrhage. Now its clinical and CT analysis report as follows. First, the clinical data 1. General information: 11 males and 9 females. Minimum 12 years old, maximum 82 years old, average 47.5 years old. 16 cases of sudden onset of daily work during the day, 4 cases of progressive disease at night. The vast majority of incentives for emotional excitement, overwork, drinking, urination, etc .; individual onset at night when quiet. 2. Clinical manifestations: the onset of elevated blood pressure in 14 cases (blood pressure 200 ~ 230/100 ~ 140), have a history of hypertension for 5 to 20 years. After onset, 11 cases of disturbance of consciousness (drowsiness in 10 cases, 1 case of coma), conscious in 9 cases. Headache in 11 cases, vomiting 10