摘要
目的分析脑血管淀粉样变与高血压脑出血的临床特征。方法选择急性颅内血管淀粉样变脑出血患者40例和高血压性脑出血患者40例,对其临床资料进行回顾性分析。结果和高血压脑出血患者相比较,脑血管淀粉样变患者的年龄更高,脑叶表面是其出血的主要部位,表现为不规则或者分叶状,容易引起脑室出血和蛛网膜下腔出血,其临床特点为容易复发、多发性。结论在临床和影像学方面,颅内血管淀粉样变具有一定的特征,然而临床中也需要通过病理学检查进行证实。
Objective To analyze the clinical characteristics of cerebral vascular amyloidosis and hypertensive intracerebral hemorrhage. Methods The clinical data of 40 patients with acute intracranial amyloidosis, 40 patients with cerebral hemorrhage and hypertensive intraeerebral hemorrhage were analyzed retrospectively. Results Compared to patients with hypertensive cerebral hemorrhage, cerebral amyloid angiopathy in patients with higher age, the surface is the main part of lobar hemorrhage, manifested as irregular or lobulated, easy to cause the intraventricular hemorrhage and subarachnoid hemorrhage and its clinical features are easy to relapse, multiple. Conclusion In clinical and imaging aspects, intracranial amyloidosis has some characteristics, but clinical studies also need to be confirmed by pathological examination.
出处
《中国继续医学教育》
2017年第10期87-88,共2页
China Continuing Medical Education
关键词
脑血管淀粉样变
高血压脑出血
临床特征
cerebrovascular amyloidosis
hypertensive intracerebral hemorrhage
clinical features
