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本组80例高血压性脑出血均经头颅CT证实。男58例,女22例。年龄44～85岁,平均55岁。临床表现:有诱因者(饮酒、劳累等)24例(30.0%);入院时收缩压高于21.3 kPa 67例(83.8%),舒张压高于12.7 kPa 75例(93.8%),头痛44例(55.0%),呕吐46例(57.5%),意识障碍55例(68.8%);瘫痪74例(92.5%),其中右侧偏瘫37例,左侧偏瘫35例,交叉瘫1例,四肢瘫1例;失语21例(26.3%),眼球凝视障碍10例(12.5%),脑膜刺激征阳性15例(18.8%),脑脊液检查24例均为血性,视乳头水肿3例。头颅CT:出血部位:壳核53例(66.3%),丘脑13例(16.3%),皮质(脑叶)11例
The group of 80 cases of hypertensive intracerebral hemorrhage were confirmed by head CT. 58 males and 22 females. Age 44 to 85 years, mean 55 years. Clinical manifestations: induced (drinking, fatigue, etc.) 24 cases (30.0%); admission systolic blood pressure higher than 21.3 kPa in 67 cases (83.8%), diastolic blood pressure higher than 12.7 kPa in 75 cases (93.8% (55.0%), vomiting in 46 cases (57.5%), disturbance of consciousness in 55 cases (68.8%), paralysis in 74 cases (92.5%), including 37 cases of right hemiplegia, 35 cases of left hemiplegia, 1 case of paraplegia, 1 case had aphasia, 21 cases had aphasia (26.3%), 10 cases (12.5%) had eye gaze disorder, 15 cases (18.8%) had positive meningeal irritation and 24 cases had cerebrospinal fluid examination. Head CT: Bleeding site: 53 cases of putamen (66.3%), 13 cases of thalamus (16.3%), cortex (lobule) 11 cases