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本文分析82例丘脑出血的CT表现和预后。CT能早期诊断血肿的大小、范围、穿破脑室及出血的演变过程,可以预测丘脑出血的病程和预后。证实丘脑出血临床表现为丘脑综合征,其主要特征为:病灶对侧呈感觉运动障碍而以感觉障碍为主;多出现垂直性注视痹和瞳孔异常;优势半球时可出现语言障碍,非优势半球时可出现结构失用或疾病觉缺失;血肿体积超过3.6cm×1.3cm×3.0cm或出血破入脑室伴明显脑室扩张者病死率显著提高。
This article analyzes 82 cases of thalamic hemorrhage CT findings and prognosis. CT can early diagnosis of hematoma size, scope, break through the evolution of ventricle and hemorrhage, can predict the course and prognosis of thalamic hemorrhage. Confirmed that the clinical manifestations of thalamic hemorrhage thalamic syndrome, the main features are: the opposite side of the lesion was sensory dyskinesia and sensory dysfunction; more vertical gaze paralysis and pupil abnormalities; dominant hemisphere may be speech disorders, non-dominant hemisphere Structural failure may occur when the disease or loss of consciousness; hematoma volume of more than 3.6cm × 1.3cm × 3.0cm or bleeding into the ventricle with significant ventricular dilatation were significantly increased mortality.