出血性腔隙综合征81例临床分析

The Clinical Analysis of Hemorrhage Lacunar Syndrom in 81 Cases

目的:探讨出血性腔隙综合征的病因和临床特点,以便提高对本综合征的认识。方法:对81例本综合征患者的临床资料进行分析。结果:急性活动状态下发病76例(93.8％),有高血压78例(96.3％),纯运动性轻偏瘫34例(41.2％),纯感觉性卒中14例(17.3％),感觉运动性卒中21例(26.0％),构音障碍——手笨拙综合征7例(8.6％),脑干交叉性瘫3例(3.70％),丘脑性痴呆2例(2.5％)。出血量0.5～7mL,平均3.4mL。痊愈66例(81.5％)、好转15例(18.5％)。结论:高血压是本综合征的最主要病因。本综合征有其特殊的临床表现,早期易误诊为脑梗死,CT和MRI检查可助确诊,预后良好。

Objective: To probe into the cause of hemorrhage lacunar syndrome and its clinical manifestation in order to take further steps to understand the syndrome. Methods: The clinical materials of 81 cases were analysed. Results: Among the 81 cases, 76 (93.8%) developed the disease under the state of physical exertion,78(96.3% ) suffered from hypertension,34(41.2% ) affected with pure motor hemiparesis,14(17.3%) with pure sensory stroke,21(26.0%) with sensorimotor stroke,the remainder were ill with dysarthria-clumsy hand syndrom(8.6% ), grainstem stauroplegia(3. 70% ) and thalamic dementia(2. 5%). The amount of loss of blood was 0.5 -7mL,on average 3.4mL.There were 66 cases(81.5%) recovered, 15(18 .5% ) got better. Conclusion: Hypertension is the chief cause of the syndrome. there are some special clinical manifestation in the syndrome. So it may be sometimes mistaken for cerebral infarction in early period. With the aid of CT and MRI, the diagnosis of the syndrom can be made, and the patients have usually a better prognosis.