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脑叶出血预后和随访国内较少报告,现将经CT证实的22例的临床和预后报告如下。男17例,女5例。17—45岁8例,48—74岁14例。有高血压病史5例,肢体抽搐发作史3例。临床表现:Bp21.0—28.0/12.0—16.0 kPa10例。头痛,恶心呕吐11例,头晕4例,肢体抽搐2例,尿便失禁6例。意识障碍9例,失语6例,两眼向病灶侧凝视4例,双眼左上限盲1例,右侧同向偏盲1例。浅感觉减退7例。偏瘫10例,Babinski氏征(+)9例,颈强13例,Kernig氏征(+)10例。CSF检查18例,压力>1.962kPa7例,呈血性13例,蛋白>0.45g/L10例。心电图示左室大、心肌劳损9例。脑血管造影3例,动静脉畸形1例,正常2例。手术病理检查2例为动静脉畸形。
Prognosis and follow-up of lobar hemorrhage less reporting, now confirmed by CT in 22 cases of clinical and prognostic reports are as follows. There were 17 males and 5 females. 8 cases of 17-45 years old, 14 cases of 48-74 years old. A history of hypertension in 5 cases, limb seizures in 3 cases history. Clinical manifestations: Bp21.0-28.0 / 12.0-16.0 kPa10 cases. Headache, nausea and vomiting in 11 cases, dizziness in 4 cases, limb twitch in 2 cases, urinary incontinence in 6 cases. There were 9 cases of disturbance of consciousness, 6 cases of aphasia, 4 cases of gaze on both sides of the lesion, 1 case of left upper limit blindness and 1 case of right hemianopia. Light feeling decreased in 7 cases. Hemiplegia in 10 cases, Babinski’s sign (+) in 9 cases, neck strength in 13 cases, Kernig’s sign (+) in 10 cases. CSF examination in 18 cases, pressure> 1.962kPa7 cases, was bloody in 13 cases, protein> 0.45g / L10 cases. ECG left ventricular large, myocardial strain in 9 cases. Cerebral angiography in 3 cases, arteriovenous malformation in 1 case, normal in 2 cases. Two cases of pathological examination of arteriovenous malformations.