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自发性脑叶出血的临床与CT分析

To study clinic and CT with spontaneous hemorrhage of lobe in cerebrum

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【作者】 李海帆罗贵川冉秀瑜

【Author】 Lihaifan Luoguichuan Ranxiuyu (Tongren prefecture second hospital,tongren, guizhou 554300)

【机构】 铜仁地区第二人民医院铜仁地区第二人民医院 贵州铜仁554300贵州铜仁554300

【摘要】 目的探讨自发性脑叶出血的临床特征及预后。方法回顾总结2000年至2007年在我院住院经CT确诊的脑出血患者的临床资料。结果自发性脑叶出血26例,占同期非外伤性脑出血的25.7%,在活动状态下发病占57.7%,出血部位在颞顶额叶达85.6%,出血量在20毫升以上达73.1%,病前有高血压或发病时血压增高占65.4%,偏瘫发生率占57.7%,常规保守治疗有效率为80.8%。结论尽早做CT是诊断自发性脑叶出血的重要手段,及时抢救,合理治疗是减少死亡、降低致残的关键。

【Abstract】 Objective To explore the clinic feature and prognosis who with spontaneous hemorrhage of lobe in cerebrum. Methods the dada come from our hospital, from 2000-2007 year, the inpatients who have had checked with CT and hospitalized in our hospital. Results 26 cases spontaneous hemorrhage of lobe in cerebrum, hold 25.7% in the whole intracerebral hemorrhage at the same time,onset at the active state were 57.7%, hemorrhagic location at temporal lobe, parietal lobe and frontal lobe were 85.6%,hemorrhagic volume exceed 20ml were 73.1%,Who have had hypertension before onset or have had blood pressure increased at the onset were 65.4%,hemiparalysis incidence rate were 57.7%,effective rate of conventional therapy were 80.8%.Conclusion To diagnose spontaneous hemorrhage of lobe in cerebrum who should checked with CT as soon as possible,and death rate and disability rate could reduced when therapy were rational and in time.

  • 【文献出处】 中国医疗前沿 ,China Healthcare Innovation , 编辑部邮箱 ,2008年04期
  • 【分类号】R743.3
  • 【被引频次】1
  • 【下载频次】59
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