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我们自1988年～1997年收治脑CT扫描确诊脑出血46例,报告如下。 1.临床资料 一般资料 本文46例中男27例,女19例,年龄60～91岁,其中60～70岁35例,71～80岁8例,81～91岁3例。既往有高血压病史38例,冠心病史2例。38例在活动、饮酒、便后诱发,8例在睡眠中起病。入院时血压明显增高34例,血压正常12例。 临床表现 46例均为突然起病,神志清醒8例,神志模糊20例,嗜睡9例,昏迷9例,起病时有头痛、头昏11例,呕吐6例,偏瘫46例,两眼球侧向凝视5例,尿便失禁9例,抽搐1例,病理征(+)30例。 脑CT扫描 本文46例分别于发病后2小时至3天行脑CT扫描。出血部位基底节区20例(43.5％),脑叶出血12例(26％),丘脑出血11例(24％),外囊出血3例(6.5％),出血破入脑室4例,出血量最多40ml,最少5ml,平均11ml。
We from 1988 to 1997 admitted to brain CT scan confirmed 46 cases of cerebral hemorrhage, the report is as follows. 1. Clinical data General information The 46 cases of male 27 cases, 19 females, aged 60 to 91 years, of which 60 to 70 years in 35 cases, 71 to 80 years in 8 cases, 81 to 91 years in 3 cases. Previous history of hypertension in 38 cases, history of coronary heart disease in 2 cases. 38 cases in the activities, alcohol, then evoked, eight cases of onset in sleep. Admission of blood pressure was significantly higher in 34 cases, normal blood pressure in 12 cases. Clinical manifestations of 46 cases were sudden onset, 8 cases of conscious, delirium in 20 cases, drowsiness in 9 cases, coma in 9 cases, onset of headache, dizziness in 11 cases, vomiting in 6 cases, hemiplegia in 46 cases, both eyes 5 cases were stared, incontinence in 9 cases, convulsions in 1 case, pathological sign (+) 30 cases. 46 cases of brain CT scan line 2 to 3 days after onset of brain CT scan. There were 20 cases (43.5%) of bleeding in the basal ganglia, 12 cases (26%) of cerebral lobe hemorrhage, 11 cases of thalamic hemorrhage (24%), 3 cases of outer capsule hemorrhage (6.5% Up to 40ml, at least 5ml, an average of 11ml.