出血性脑瘤卒中的临床与CT诊断  

Clinical and CT diagnosis of hemorrhage cerebroma apoplexy

作　　者：邓伟胜[1] 罗国辉[1] 余剑[2] 

机构地区：[1]广东梅州市人民医院神经内科,梅州514031 [2]中山大学第一附属医院神经内科,广州510080

出　　处：《实用神经疾病杂志》2005年第6期5-6,共2页

摘　　要：目的探讨出血性脑瘤卒中的临床与CT表现以获取早期诊断的依据。方法结合文献复习,回顾性分析12例出血性脑瘤卒中的临床与CT表现。结果出血性脑瘤卒中临床分型有:Ⅰ型以脑卒中为首发症状(6例);Ⅱ型为原有脑瘤症状加重(3例);Ⅲ型为头部外伤后脑卒中(3例)。CT表现为出血征象与肿瘤征象共存。结论出血性脑瘤卒中的临床表现多样,容易误诊为脑血管病出血或脑外伤出血;除详细询问病史外,细致的临床及CT检查是早期确诊的关键。Objective To explore clinical and CT manifestations of hemorrhage cerebroma apoplexy eases so as to acquire evidences demanded by early diagnosis, Methods Clinical and CT manifestations of hemorrhage eerebroma apoplexy were analyzed retrospecfively, integrated with eases reported previous. Results The clinical findings could be divided into 3 types： type Ⅰ showed stroke at first （6 cases）, type Ⅱ was more worse than before （3 cases） and type Ⅲ showed stroke after skull injury （3 cases） .CT films were characterized by coexisting of hemorrhage and tumor signs. Conclusion The various chnical manifestations easily cause misdiagnosis of cerebrovascular hemorrhage or traumatic hemorrhage. Besides stroke history, particular clinical and CT examination are key to early diagnosis.

关 键 词：出血性脑瘤卒中 临床 CT 诊断 出血性脑瘤卒中 临床分型 CT诊断 CT表现 出血征象 后脑卒中 回顾性分析 早期诊断 文献复习 

分 类 号：R743.31[医药卫生—神经病学与精神病学] R683.42[医药卫生—临床医学]