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本文收集我科1996年7月～1997年7月住院经头颅CT证实的出血性卒中130例,其中并发神经原性肺水肿18例,分析如下。 1临床资料 1.1一般资料 130例中,男76例,女54例,年龄42～70岁。有高血压动脉硬化病史98例,糖尿病12例。发病距就诊时间2～24小时80例,24～72小时50例,死亡36例。并发神经原性肺水肿18例中,基底节区脑出血破入脑室10例,蛛网膜下腔出血、原发脑室出血、脑干出血和小脑出血各2例,均有高血压动脉硬化病史,发病年龄为60～70岁,发病距就诊时间2～24小时,均在病后48小时内死亡。 1.2临床表现 130例中,头痛、呕吐、偏瘫97例,意识障碍50例,应激性溃疡46例,交叉瘫4例,ECG异常58例,就诊时血压升高96例,血压正常34例。并发神经原性肺水肿18例中,均有意识障碍、中枢性高热、应激性溃疡,ECG示ST-T异常,就诊时血压高,偏瘫8例,交叉瘫和四肢瘫各1例。
This collection of our department from July 1996 to July 1997 hospitalized head CT confirmed hemorrhagic stroke in 130 cases, of which 18 cases of neurogenic pulmonary edema, the analysis is as follows. 1 Clinical data 1.1 General Information 130 cases, 76 males and 54 females, aged 42 to 70 years. There is a history of arteriosclerosis hypertension in 98 cases, 12 cases of diabetes. The incidence of treatment from 2 to 24 hours 80 cases, 24 to 72 hours in 50 cases, 36 patients died. Complications of neurogenic pulmonary edema in 18 cases, basal ganglia intracranial hemorrhage in 10 cases, subarachnoid hemorrhage, primary ventricular hemorrhage, brainstem hemorrhage and cerebellar hemorrhage in 2 cases, have a history of hypertension, arteriosclerosis, The age of onset is 60 to 70 years old, the incidence of treatment from the time of 2 to 24 hours, all within 48 hours after the disease died. 1.2 Clinical manifestations 130 cases, headache, vomiting, hemiplegia in 97 cases, 50 cases of disturbance of consciousness, stress ulcer in 46 cases, 4 cases of cross-paralysis, ECG abnormalities in 58 cases, 96 cases of hypertension at treatment, normal blood pressure in 34 cases. Complications of neurogenic pulmonary edema in 18 cases, all with disturbance of consciousness, central fever, stress ulcer, ECG showed ST-T abnormalities, treatment of high blood pressure, hemiplegia in 8 cases, cross-paralysis and quadriplegia in 1 case.