尾状核出血的临床分析  

Clinical Analysis of Caudate Hemorrhage

作　　者：魏新敏 

机构地区：[1]广州市番禺区岐山医院,广州511400

出　　处：《中国现代医生》2009年第17期19-20,共2页China Modern Doctor

摘　　要：目的探讨尾状核出血的发病机制、临床表现和预后。方法我院2000年6月～2008年6月共收治尾状核出血38例,诊断符合全国第四次脑血管病诊断标准,经头颅CT检查确诊。本文对该38例尾状核出血患者的临床资料进行了回顾性研究。结果本组尾状核出血的病因同其他部位的脑出血一样,以高血压脑动脉硬化为主,临床症状复杂,表现为肢体轻瘫、感觉障碍、锥体外系症状、精神症状、眼征、意识障碍、语言障碍、植物神经症状等,继发性脑室出血发生率高,肢体瘫痪不严重。死亡7例(18%),治愈16例(42%),病死率低,预后较好。结论尾状核出血的临床表现有其特殊性,血肿部位及波及邻近组织不同,而临床表现及预后也不同。Objective To explore the pathogenesis,clinical manifestations and prognosis of caudate hemorrhage. Methods 38 cases of caudate hemorrhage had been treated from June of 2000 to June of 2008. The diagnosis of these cases matches the Fourth National Cere- brovascular Disease diagnostic criteria, which were conformed by cranial CT. In this research, 38 eases of caudate hemorrhage were retrospec- tively analyzed. Results The eaudate hemorrhage of these cases ,just as other kinds of cerebral hemorrhage, were mainly caused by hyperten- sive arteriosclerosis. The clinical symptoms included limb paresis,sensory disturbanee,extrapyramidal symptoms,psychiatric symptoms,eye symptoms, consciousness disorder, Language barriers, autonomic symptoms, etc. Caudate hemorrhage had a high rate of secondary intraventricu- lar hemorrhage. The paralysis of limbs and the prognosis are not significant. 7（ 18% ） cases were dead,while 16 cases were cured（42% ）. This showed a low mortality rate and a good prognosis. Conclusion The symptoms and prognosis of caudate hemorrhage differs according to the locations of hematoma and involved with adjacent tissue.

关 键 词：尾状核 出血 临床特征 

分 类 号：R743.34[医药卫生—神经病学与精神病学]