高血压动脉硬化性脑溢血的CT与临床观察(附100例分析)

本文报告经CT证实的高血压动脉硬化性脑出血100例,CT检查121次,共检出血肿103个。本组病例临床初诊符合率仅71％,而CT则不但可直接显示脑内血肿,并可确定其位置大小及有无破入脑室,认为CT应作为本病的首选辅助检查。通过对不同病人不同时期的CT检查及/或连续的CT动态观察,了解到血肿液化、吸收、囊变各阶段及血肿引起脑水肿的变化过程,从而指导临床诊疗。通过对其中30例脑室积血的临床症状和预后的分析,发现本病合并脑室积血的发生率是相当高的,其病死率远高于无脑室积血者,其死因与血肿破入脑室的途径及脑室内积血量有关。

HYPERTENSIVE ARTERIOSLEROTIC INTRACEREBRAL HEMORRHAGE: CLINICAL AND CT ANALYSIS OF 100OASES.

100 cases of hypertensive arteriosclerotic intracerebral hemorrhag Confirmed by CT are reported with 121 times of CT Scan. 103 hematomas an found. Only 71% of the cases were diagnosed correctly before CT scan. CT Should be considered to be the firt choice for the auxiliary examination as it can demonstrate not only the intracerebral hematoma but also itsl ocation, si_2 and rupture into the ventricle. CT scanning at different stages of different cas and serial followed-up scanning for 2-4 times of some cases show the liquefaction, absorption and cyst formation of the hematoma as well as surrounding cerebral edema. This gives help to the clinical diagnosis and treatment. Analysis of the clinical presentation and outcome of 30 cases with intraventricular hemorrhage shows that this complication is quite common. Comparing with the cases without intraventricular hemorrhage, these 30 cas have a much higher mortality rate which is correlated to the intraventriculo blood volume and the location from which the hematoma ruptures iuto the ventricles.