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急性卒中后偏瘫通常伴发肌张力改变,特点是在头几天或几周内患肢呈弛缓状态,以后才逐渐出现痉挛状态,而急性偏瘫后立即出现痉挛状态是不常见的现象。作者复习某院2年中因急性半球性(缺血性或出血性)卒中和偏瘫而住院的所有病历,找寻痉挛状态是否是发病当时的体征。结果发现急性偏瘫后立即出现痉挛状态8例。所有病人都是在卒中后10小时内检查的,无1例呈去大脑或去皮层状态,病人年龄59～84岁,男7女1,入院时意识混浊5例,
Acute post-stroke hemiplegia is usually accompanied by changes in muscle tone, characterized by flaccid limbs in the first few days or weeks, after the gradual emergence of spasticity, and immediately after acute hemiplegia spasticity is not common phenomenon. The authors reviewed all medical records of a hospital hospitalized for acute hemiparetic (ischemic or hemorrhagic) stroke and hemiplegia for 2 years to find out if the spasticity was a sign of the time of onset. The results showed that immediately after acute hemiplegia spasticity in 8 cases. All patients were examined within 10 hours after stroke, none of the patients went to the brain or to the cortex, the patients were 59 to 84 years old, 7 male and 1 female,