颅脑CT检查与丘脑出血患者的中风急症证候探讨

Study on the relation between thalamus hemorrhage and the syndrome of stroke craniocerebral CT examination

目的:探讨丘脑出血性中风急症证候与颅脑CT影像的关系,以求指导临床治疗和预防。方法:根据15例丘脑出血患者临床症状,体征,颅脑CT影像诊断和相应出现中医证候进行中医辨证;结果:将丘脑出血超急期中医中风诊断为:中风中脏腑、肝阳暴张,风火夹痰,上蒙清窍,闭证,或脱证闭症并见;中风中经络肝肾阴虚风阳上扰。结论:结合CT诊断,丘脑出血性中风证候特点是突然神昏、半身麻木,半身不遂,舌强语謇,口眼歪斜,双目斜视;以神昏,半身麻木和半身不遂多见。颅脑CT检查可以及时确诊。

Objective:To investigate the relationship between the syndrome of thalamus hemorrhagic stroke and the image of 15 cases of craniocerebral CT in order to guide the clinical treatment and prevention. Methods:According to clinical symptoms, signs and the image of craniocerebral CT of 15 cases of thalamus hemorrhagic patients, the differentiation of TCM for the syndrome of stroke is performed. Results: The stroke in Chinese medicine with thalamuns hemorrhage during early ischemia is diagnosed as follows:hyperactivity of stroke involving the organs and liver-yang, obstruction by wind-phlegm, disturbing the seven orifices, blockage syndrome. Apoplxia channels, Yin deficiency of liver and kidneys, Fengyang Shangrao. Conclusion: With CT diagnoses, the characteristics of the syndrome of thalamus hemorrhagic stroke are significant clinical syndromes such as unexpected mental confusion, hemiplegia, inclined mouth and eye changing, tongue shortness or spansm and so on, and they could be diagnosed by CT in time.