小灶性脑出血58例临床分析

Clinical analysis of 58 cases of focal cerebral hemorrhage

目的 探讨小灶性脑出血的临床特点、治疗和预后。方法 对 5 8例经颅脑CT证实为小灶性脑出血病人的临床资料进行回顾性分析。结果 小灶性脑出血临床多表现为某一类型的腔隙综合征 ,一般不产生全脑损害症状 ,CT显示单发圆形或类圆形高密度灶 ,占位效应不明显。近期预后良好 ,但远期追踪观察脑卒中再发率较高 (2 5 9% )。结论 小灶性脑出血是引起腔隙综合征的主要病因之一。及时行颅脑CT检查、合理控制高血压 ,对本病的早期诊断、治疗和减少脑卒中再发率有重要意义。

Objective To study the clinical features,treatment and prognosis of focal cerebral hemorrhage.Methods The clinical data of 58 cases of focal cerebral hemorrhage confirmed by craniocerebral CT scan were retrospectively analyzed.Results Focal cerebral hemorrhage usually displayed some sort of lacunal syndrome and seldom produced the symptom of extensive cerebral injury.CT showed single circle or oval focus of high density whose occupancy effect was indistinct.Recent prognoses were good,while long-term follow-up showed a high recurrence rate of cerebral apoplexy(25.9%).Conclusion Focal cerebral hemorrhage is one of the causes of the lacunal syndrome.Prompt CT examination and rational control of hypertension are important to early diagnosis and treatment of this disease and to reduction of recurrence rate of cerebral apoplexy.