摘要
目的探讨肿瘤所致脑出血的发病率、病因和诊断方面的特点。方法收集自2010年5月～2012年4月在我院住院的7例脑出血患者，最终都被确诊为肿瘤所致脑出血。结果7例患者均以脑出血为首发表现收入院．出血部位位于脑叶，脑磁共振扫描可见血肿周围明显水肿，增强可见异常环形强化；其中6例经相应治疗后出血吸收好转，1例出现全身多发转移，最终死于多脏器功能衰竭。结论肿瘤所致脑出血可见多种病因，临床表现各异，但出血症状常会掩盖原发病症状，导致误诊，影响治疗和预后。因此，应重视病史采集和系统性检查，密切关注患者病情变化，以达到早期诊断及早期治疗的目的。
Objective To investigate the characteristics of intracerebral tumor-associated hemorrhage in aspect of mor- bidity,pathogeny and diagnosis. Methods Seven patients with final diagnosis of intracerebral tumor-associated hemor- rhage from May 2010 to April 2012 in Daxing district hospital were admitted in our study. Results Seven patients were all with initial manifestations of cerebral hemorrhage before admission. The hematoma were all located in lobes of the brain with edema around the hematoma in FLAIR sequence and abnormal annular enhanced lesions in contrast-en- hanced MRI Sequence. Hemorrhage absorption appeared in six of patients after corresponding treatment. One patient died for multiple organ failure with systemic metastases. Conclusion Intracerebral tumor-associated hemorrhage had many causes and different clinical manifestations. However, intracerebral hemorrhage would mask the symptoms of primary diseases and lead to misdiagnose which influence treatment and prognosis. Therefore, more attention should be paid to history-taking and systematic check which could reduce the ratio of misdiagnose in order to achieve the purpose of early diagnosis and treatment of intracerebral tumor-associated hemorrhage.
出处
《中国现代医生》
2013年第24期77-78,F0003,共3页
China Modern Doctor
关键词
脑肿瘤
脑卒中
脑出血
诊断
Cerebral tumor
Stroke
Cerebral hemorrhage
Diagnosis
