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高血压性丘脑出血41例临床与CT分析 被引量:4

CLINICAL MANIFESTATION AND CT-SCAN OF 41 CASES OF HYPERTENSIVE THALAMIC HEAMORRHAGE
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摘要 目的:总结丘脑出血的临床特点,脑CT扫描及治疗体会。方法:选择41例经CT证实为丘脑出血的住院病人,均采用保守治疗。结果:近半数病人有眼部症状,失语及浅感觉恢复好而深感觉不恢复。结论:高血压与脑动脉硬化是引起丘脑出血的最重要原因。眼征是丘脑出血的重要体证。丘脑性失语有复述保留、恢复快之特点。丘脑出血的治疗应及时,且脱水要足量,直到脑水肿消退为止。 Objective. To summarize the clinical features of thalamic hemorrhage.inluding CT-scan of the brain.and its treatment.Methods. 41 hospitalized patients with thalamic hemorrhage confirmed by CT- scan were selected. All of them were treated with conservative therapy. Results. Nearly half of the patients had ophthalmic symptoms.There was good recovery from aphasia and superfitial sensibility disorder.while no improvment was achieved with deep sensibility loses. Conclusion.Hypertension and arteriosclerosis are the most important faetors in causing thalamic hemorrhge. And ophthalmic sign is asignificant sign in this disease. Thalamic aphasia is charactrized by its well preserved repetition and rapid recovery. The treatment of thalamic hemorrhage should be in time and have adequate dehydrating therapy till cerebral edema recedes.
出处 《北京医科大学学报》 CSCD 1996年第2期126-127,共2页 Journal of Peking University(Health Sciences)
关键词 脑出血 诊断 高血压 并发症 CT 丘脑 Headings Cerebral hemorrhage/diag Hypertension /compl Tomography,X-ray computed Thalamus
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