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为了吸取经验教训,将我科1989年～1991年60岁以上老干部,经CT扫描证实的脑血管疾病与临床初诊不符合的40例进行分析如下: 临床资料一、CT证实为出血性脑血管病6例: (1)初诊脑血栓,CT诊断血脑出血3例,3例发病时没有显明的头痛、恶心、呕吐及意识障碍,偏侧体征轻,3例均有高血压病史,但发病时血压升高不明显,(2)初诊脑出血,CT诊断蛛网膜下腔出血1例,血液破入脑室和大脑外侧裂。该例突然发病,意识不清,恶心、呕吐,发病时血压比病前高,检查无明显脑膜刺激征,左侧轻偏瘫;(3)初诊椎动脉供血不足,CT诊断为小脑出血1例,该例为82
In order to learn from the experience of our department from 1989 to 1991, 60-year-old cadres, CT scan confirmed cerebrovascular disease and clinical examination of 40 cases were inconsistent as follows: Clinical data, CT confirmed as hemorrhagic cerebrovascular disease 6 cases were diagnosed as cerebral thrombosis by CT, 3 cases were diagnosed as blood-brain hemorrhage by CT, 3 cases had no obvious headache, nausea, vomiting and disturbance of consciousness, mild hemoptysis and 3 cases had history of hypertension. Blood pressure is not obvious, (2) newly diagnosed cerebral hemorrhage, CT diagnosis of subarachnoid hemorrhage in 1 case, the blood breaks into the ventricle and lateral cerebral fissure. The case of sudden onset, unconsciousness, nausea, vomiting, blood pressure at onset than premorbid high, check no obvious meningeal irritation, left hemiparesis; (3) Newly diagnosed vertebral artery insufficiency, CT diagnosis of cerebellar hemorrhage in 1 case, This example is 82