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1990年5月~1995年6月我科共收治经头颅CT证实的脑出血破入脑室患者62例,本文着重分析影响预后的因素。临床资料 62例(男53,女9),年龄19~82岁,平均65.15岁。既往有高血压病史55例。症状:头痛25例,恶心呕吐33例,抽搐2例,视力障碍、精神异常各1例,高热6例,体征:血压增高55例,舒张压>16kPa(120mmHg)者27例;神志清楚19例,意识模糊8例,嗜睡12例,昏睡3例,浅昏迷8例,深昏迷12例;瞳孔缩小5例;眼球向一侧凝视12例;偏瘫55例,四瘫4例;单侧病理征阳性49例,双侧病理征阳性10例;颈强38例,克匿格征阳性20例。
From May 1990 to June 1995, our department received a total of 62 cases of cerebral hemorrhage confirmed by skull CT confirmed penetrating ventricular, this article focuses on the analysis of the factors that affect the prognosis. Clinical data of 62 cases (53 men and 9 women), aged 19 to 82 years, mean 65.15 years. Previous history of hypertension 55 cases. Symptoms: 25 cases of headache, nausea and vomiting in 33 cases, 2 cases of convulsions, visual impairment, mental abnormalities in 1 case, 6 cases of fever, signs: 55 cases of elevated blood pressure, diastolic blood pressure> 16kPa (120mmHg) in 27 cases; , Confusion in 8 cases, drowsiness in 12 cases, drowsiness in 3 cases, shallow coma in 8 cases, deep coma in 12 cases; pupil shrinkage in 5 cases; eye gaze to one side in 12 cases; hemiplegia in 55 cases and quadriplegia in 4 cases; unilateral pathological signs Positive in 49 cases, bilateral positive pathological signs in 10 cases; neck strength in 38 cases, Kegong sign positive in 20 cases.