论文部分内容阅读
胼胝体出血在脑出血中少见,尤其是以蛛网膜下腔出血为主要临床表现的原发性胼胝体出血迄今未见文献报导,现将哈医大及青岛医学院各1例综合报告如下:例1,女,44岁,职员,住院号48052。于3月28日晨起自觉窒息感,数秒钟后突然头顶部剧痛,无抽搐。15分钟后大喊大叫,胡言乱语,双眼直视,当地医院按癔病静注安定10mg 后进入昏睡。2天后清醒,表现淡漠,失语、尿失禁,按蛛网膜下腔出血转入我院。查体:Bp16/9.3kPa,轻度缄默状态,运动性失语。无面瘫,四肢可活动,石 Chaddock 氏征(+),有项强及克氏征。次日查体:右肢中枢性轻瘫(肌力Ⅳ级),
Corpus callosum hemorrhage is rare in cerebral hemorrhage, especially in the primary clinical manifestations of subarachnoid hemorrhage has not been reported in the literature of the main corneal hemorrhage, the Harbin Medical University and Qingdao Medical College, a comprehensive report of 1 cases are as follows: Example 1, Female, 44 years old, employee, hospital number 48052. In the morning of March 28 apnea sense of consciousness, a few seconds after the sudden head pain, no convulsions. Shouting after 15 minutes, nonsense, eyesight, local hospital press hysteria intravenous stability 10mg into drowsiness. Awake 2 days later, the performance of indifference, aphasia, incontinence, according to subarachnoid hemorrhage transferred to our hospital. Physical examination: Bp16 / 9.3kPa, mild silent state, aphasia. No facial paralysis, limbs can move, stone Chaddock’s sign (+), a strong and Kirschner Sign. The next day examination: right limb paralysis (muscular strength grade Ⅳ)