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[实质性脑室出血的诊断、临床过程及预后]

[Diagnosis, clinical course and prognosis of parenchymatous- ventricular hemorrhages].

作者信息

Iakhno N N, Arkhipov S L, Mironov N V, Shmyrev V I, Gavrilov E S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1992;92(1):17-21.

PMID:1319639
Abstract

As many as 61 patients with hemorrhagic brain stroke and blood penetration in the ventricular system were subjected to a clinical analysis. Based on the data available, attempts were made to predict an outcome of brain stroke. The authors describe the results of studying different aspects of the diagnostic algorithm of parenchymatous ventricular hemorrhages. In accordance with the clinical and computer-aided tomography data, consciousness disturbances, occlusion hydrocephalus, secondary stem syndrome as well as the localization, volume of hematomas and the degree of the blood filling of the ventricular system may serve as diagnostic predictors of brain hemorrhages. The authors' observations correspond with the conclusions made by foreign scientists that ventricular hemorrhages are not always fatal. Parenchymatous ventricular hemorrhages are likely to eventuate in a favourable outcome owing to the drug treatment.

摘要

对多达61例出血性脑卒中和脑室系统血液渗透的患者进行了临床分析。根据现有数据,尝试预测脑卒中的结果。作者描述了对实质性脑室出血诊断算法不同方面的研究结果。根据临床和计算机断层扫描数据,意识障碍、梗阻性脑积水、继发性脑干综合征以及血肿的定位、体积和脑室系统血液充盈程度可作为脑出血的诊断预测指标。作者的观察结果与国外科学家得出的结论一致,即脑室出血并不总是致命的。由于药物治疗,实质性脑室出血可能会有良好的结果。

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