摘要
本文对２０例重型高血压脑出血进行了临床病理分析，结果表明重型高血压脑出血以外侧混合型多见，出血量很大，常继发脑室出血、蛛网膜下腔出血及脑干出血。临床表现为起病前、后血压都很高，意识障碍出现早，瞳孔不等大或双瞳孔缩小，常有去脑强直、完全性肢瘫及双侧病理反射阳性。本组资料提示脑出血的严重程度并非取决于出血部位，主要取决于出血量的大小。坚持长期有效地治疗高血压仍是预防重型高血压性脑出血的根本措施。
AbstractAutopsy records and clinical materials of 20 patients who died within 3 days after the onsetof severe hypertensive intracerebral hemorrhage were studied.Special emphasis was placed on thereiationship bewteen pathologic and clinical aspects.Sites of hemorrhage involved the putamen in 14/20 cases (70%),the thalamus in 3 cases ,the pons in 2 cases,and the cerebellum in 1 case.Massive hemorrhages were noted in all of the brains.Massive bleeding resulted in intraventricularhemorrhage in 15 cases(88.2%)and/or subarachnoid hemorrhage in 8 cases(47%),andcaused increased intracranial pressure,lesion and shift of the brainstem , severe temporal and cere-bellar tonsil herniations. Thses results indicate that fatality of intracerebral hemorrage depands onamount of hemorrhage rather than the site of hemorrhage,It is important to treat hypertension toprevent severe hypertensive intracerebral hemorrhage.
出处
《临床神经病学杂志》
CAS
1994年第4期208-210,共3页
Journal of Clinical Neurology
