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脑叶出血是指发生在大脑皮层下白质的脑实质内出血。在CT应用以前诊断较困难。本文根据CT所见,分析了临床症状和出血部位的关系,报告如下。 1 临床资料 1.1 一般资料 男31例,女26例;年龄最小者40岁,最大者81岁,平均62岁。高血压病史者34例,非高血压病史者23例。高血压病史最长者20年,最短者2年,有35例伴有各种级别的眼底动脉硬化改变。 1.2 起病形式和症状 活动中突然起病38例,睡眠和安静休息中起病11例。感冒后发病者3例,起病形式不详者5例。起病时头痛30例,呕吐28例。9例有局灶性癫痫发作,6例有眩晕。起病时血压升高者41例。入院时主要体征:昏迷9例,意识恍惚者7例,意识清醒者37例,精神异常者2例,智力下降者2例。18例有不同程度的失语症,双眼向病灶侧共同偏视6例。轻偏瘫32
Lobe bleeding refers to the cerebral parenchymal hemorrhage occurs in the cerebral cortex white matter. Diagnosis before CT application more difficult. This article based on the CT see, analysis of the clinical symptoms and bleeding sites, the report is as follows. 1 Clinical data 1.1 General Information 31 males and 26 females; the youngest 40 years old, the largest of 81 years old, average 62 years old. Hypertensive history of 34 cases, 23 cases of non-hypertensive history. Hypertension has the longest history of 20 years, the shortest 2 years, 35 cases with various levels of retinal atherosclerosis change. In the form of onset and symptoms of sudden onset of activity in 38 cases, 11 cases of onset of sleep and quiet rest. Cold onset in 3 cases, the onset of unknown form in 5 cases. The onset of headache in 30 cases, vomiting in 28 cases. Nine patients had focal seizures and six had dizziness. 41 cases of hypertension at onset. The main signs of admission: coma in 9 cases, 7 cases of trance, conscious in 37 cases, 2 cases of mental disorders, mental decline in 2 cases. 18 cases had different degree of aphasia, both eyes shared focus on the side of the lesion in 6 cases. Hemiplegia 32