高血压脑叶血肿24例临床和CT分析

Cerebral Haematoma in Patients with Essential Hypertension:Cilinical and CT Analysis of 24 Cases

  • 摘要: 回顾性分析24例高血压性脑叶血肿的临床和CT资料。严重高血压组脑叶血肿体积为27.2±8.2ml,平均住院天数为37.1±7.8d,高血压较轻组则分别是19.9±5.0ml和28.7±3.3d,两组比较差异有显著性(P<0.05)。两组在血肿的大小以及出现颅内高压和偏瘫等临床严重程度上均有显著差异(P<0.05)。本组均为急性发病,但偏瘫较少(33.4%),有41.6%的病人出现过短时的轻度精神症状。头部CT扫描可较快作出正确诊断。

     

    Abstract: The clinical data and computerized tomography(CT)were retrospectively analysed in 24 patients with cerebral hematoma.The study showed in patients with severe hypertension,the size of cerebral haematoma and the average time of hospitalization were significantly different from those patients with mild hypertension(size:27.2±8.2ml,vs 19.9±5.02ml,P<0.05,hospitalization days: 37.1±7.8d vs 28.7±3.3d, P<0.05).In patients with high intracranial pressure,headache,vomiting,and hemiplegia,the size of hematoma would be larger compared with those without those symptoms(P<0.05).Though the symptoms were acutely occurred in all patients,hemiplegia was found only in 33.4% mild transient psychogenic symptoms was found in 41.6%.

     

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