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自CT问世以来,尾状核出血的病例诊断逐渐增多,临床症状又复杂多样,本文分析我们所见20例,依照CT和临床表现报告如下: 临床资料:本组男性12例,女性8例,年龄38～77岁,平均54.56岁。发病至入院1～24小时。血压升高者16例,1例心脏换瓣术后终生抗凝治疗。活动或情绪激动后发病15例,其余发病无明显诱因。17例病人意识清楚,3例轻至中度昏迷。表现中至重度头痛14例,头晕12例。恶心、呕吐15例,运动性不全失语4例,有偏瘫体征的13例,其中重度偏瘫,肌力0～1度2例。 CT所见:本组均以CT证实为诊断依据。日本某学者意见将尾状核出血分为三型,一型血肿局限于尾状核部位,本组所见5例,出血量
Since the advent of CT, the diagnosis of cases of caudate nucleus gradually increased, the clinical symptoms are complex and diverse, we analyzed 20 cases we see, according to CT and clinical manifestations are as follows: Clinical data: The group of 12 males and 8 females, Age 38 ~ 77 years old, average 54.56 years old. The incidence of admission to 1 to 24 hours. Elevated blood pressure in 16 cases, 1 case of heart valve replacement after life-long anticoagulant therapy. Activities or emotions after the onset of 15 cases, the remaining incidence of no obvious incentive. Seventeen patients were well aware and three had mild to moderate coma. In the performance of moderate to severe headache in 14 cases, 12 cases of dizziness. Nausea and vomiting in 15 cases, motility aphasia in 4 cases, 13 cases of hemiplegia, including severe hemiplegia, muscle strength of 0 to 1 degree in 2 cases. CT seen: This group were confirmed by CT as the basis for diagnosis. A Japanese scholar opinion will be divided into three types of caudate nucleus hemorrhage, a type of hematoma confined to the caudate nucleus, the group seen in 5 cases, the amount of bleeding