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目的比较颅内血管淀粉样变与高血压引起脑出血的临床、放射学和诊断的特点,对脑血管淀粉样变与高血压性脑出血的临床特征进行研究。方法对41例急性颅内血管淀粉样变脑出血病人的临床资料(包括年龄、血肿部位、形状、大小、是否伴发蛛网膜下腔出血和脑室出血等)、放射学诊断和病理学结果等因素进行分析,并与42例高血压性脑出血病人进行对照,行统计学分析。结果颅内血管淀粉样变出血组平均年龄明显高于高血压脑出血组,其出血主要位于脑叶的表面,呈分叶状或不规则状,易产生蛛网膜下腔出血和脑室出血,具有多发性和容易复发的特点。结论颅内血管淀粉样变出血在临床和影像学上具有一定的特征,但确诊需要病理学的诊断。
Objective To compare the clinical, radiological and diagnostic features of cerebral hemorrhage caused by intracranial amyloidosis and hypertensive cerebral hemorrhage and to study the clinical features of cerebrovascular amyloidosis and hypertensive intracerebral hemorrhage. Methods The clinical data (including age, site of hematoma, shape, size, whether subarachnoid hemorrhage and ventricular hemorrhage, etc.) of 41 patients with acute intracranial amyloidosis cerebral hemorrhage, radiological diagnosis and pathological findings Factors were analyzed and compared with 42 cases of hypertensive intracerebral hemorrhage patients, statistical analysis. Results The intracranial vascular amyloidosis bleeding group average age was significantly higher than hypertensive intracerebral hemorrhage group, the hemorrhage mainly in the surface of lobulated lobular or irregular, prone to subarachnoid hemorrhage and ventricular hemorrhage, with Multiple and easy to relapse characteristics. Conclusion Intracranial vascular amyloidosis has certain clinical and imaging features, but diagnosis requires pathological diagnosis.