【摘要】 本文报告经手术证实的自发性脑内血肿62例。全部血肿位于大脑半球。平均年龄28岁。 临床表现大多数呈卒中发作、病程短、有神经系统损害表现以及血性脑脊液可与脑瘤鉴别。脑血管造影显示脑内无血管的囊性占位病变。出血原因可能为微小血管畸形或动脉瘤,早期清除血肿可挽救生命,手术死亡率12.9％,讨论了影响预后的因素。更多还原

【Abstract】 This paper presents 62 cases of spontaneous intracerebral haematomas verified by operation. All the haematomas were located in the cerebral hemispheres. The average age was 28.Clinically most of the cases appeared as apopletic attacks with short history of disease, neurological deficits and bloody CSF, in which they were different from brain tumors.Angiography always showed an intracerebral avascular leasion. and haemorrhages were often caused by rupture of the small vascular malformations or microaneurysms. Early removal of the haematoma is always life-saving. The operative mortality was 12.9%. The prognostic factors were discussed.更多还原