无偏瘫型脑出血的临床与CT42例分析

Clinical and CT Scanning Analysis of 42 Cases of Cerebral Hemorrhage with no Hemiplegia

本文回顾性研究和分析1991年1月至1997年5月经CT平扫证实的42例无偏瘫型脑出血患者．其结果表示：在42例病例中，对例（78.6％）大于60岁活动中起病35例（83.3％）．临床表现多种多样．38例入院时神志清醒，入院前与入院后CT平扫发现出血位于脑的不同部位，且量较少，约0．5～60ml（平均79±11.5ml，出血破入脑室10例（23.8％）本文显示：无偏瘫型脑出血临床症状多种多样，典型的症状不是很明显，所以给诊断带来困难．放对此类病人应尽早行头CT平扫，同时应详细采集病史和进行神经系统查体，以助确诊和避免误诊．

In this paper, we studied and analysed retrospectively the clinical data of 42 cases of cerebral hemorrhage with no hemiplegia confirmed by CT scanning from January 1991 to May 1997.Results: Among 42 cases, 33 cases (78.65%) are over 60 years and 35 cases (83.3%) have an onset during movement. The clinical manifestation is various. The consciousness of 38 cases (90.5%) was clear when admitted. CT scanning before and after admission find that the sites of hematoma are located in different parts of the brain, but the volume of the blood is all very small, 0.5 -60ml (Mean 7.9± 11.5 ml). 10 Cases (23.8%) have hemorrhage extending into ventricles. This article shows that the early clinical symptoms of cerebral hemorrhage with no hemiplegia are various and focal signs are not obvious, so it is hard to diagnose. Therefore, to this type of patientS, CT scanning should be taken as early as possible. In order to get the correct diagnosis and avoid misdiagnosis we should take history thoroughly and perform the nerve system examination wholly and carefully at the same time.