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我科遇到自发性脑内血肿误诊为脑瘤3例介绍如下: 例1:男,24岁。因阵发性头疼、呕吐伴双下肢无力3个月于87年6月18日住院。查体:无异常体征。CT检查:左颞顶枕皮层下一圆形高密度影,边界清,周围约2.0mm水肿带。增强扫描无明显强化。初诊脑膜瘤。6月23日全麻下行左三角区入路,脑穿抽出约1.5ml黄色脑组织。切开皮层见其下方脑组织发黄,较韧,无明显边界,其后方见陈旧性血块约10ml,余无异常。术后恢复良好。病理回报为陈旧性血块,机化脑组织。例2:男,41岁。88年5月11日入院。患者头晕1个月余,记忆力减退,外院诊断
Our department encountered spontaneous intracerebral hematoma misdiagnosed as brain tumor in 3 cases described as follows: Example 1: Male, 24 years old. Due to paroxysmal headache, vomiting, lower extremity weakness 3 months in June 18, 1987 hospitalization. Physical examination: no abnormal signs. CT examination: the left temporal superior parietal cortex under a circular high-density shadow, the border clear, about 2.0mm around the edema zone. Enhanced scan no significant enhancement. New meningioma. June 23 general anesthesia into the left triangle approach, brain wear out about 1.5ml yellow brain tissue. Cut the cortex to see below the brain tissue yellow, more tough, no obvious border, the rear see the old clot about 10ml, I no exception. Postoperative recovery is good. Pathological returns for the old clot, mechanical brain tissue. Example 2: Male, 41 years old. May 11, 1988 admission. Patients dizziness more than 1 month, memory loss, outside the hospital diagnosis