同时发生的高血压性脑出血：几率有多大？
Simultaneous hypertensive intracerebral haemorrhages: what are the odds?
作者信息
Amin Osama S M
机构信息
Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq.
出版信息
BMJ Case Rep. 2013 Jan 22;2013:bcr2012008047. doi: 10.1136/bcr-2012-008047.
Abstract
The simultaneous development of two (or more) spontaneous, hypertensive, non-traumatic intraparenchymal cerebral haemorrhages is rare and constitutes less than 5.6% of all hypertensive cerebral haemorrhages. In addition to having a high early mortality, these haemorrhages carry a considerable morbidity figure in patients who survive the event. We report a 68-year-old hypertensive and diabetic woman who presented with a sudden onset of headache, vomiting, and dense right-sided weakness. In less than an hour, she became obtunded. An urgent non-contrast CT brain scan revealed two left-sided supratentorial hemispheric haemorrhages; putamenal and thalamic.
摘要
同时发生两例（或更多）自发性、高血压性、非创伤性脑实质内脑出血的情况较为罕见，占所有高血压性脑出血的比例不到5.6%。除了早期死亡率高之外，这些脑出血在存活患者中也会导致相当高的致残率。我们报告了一名68岁的高血压和糖尿病女性，她突然出现头痛、呕吐和右侧肢体严重无力。不到一小时后，她就变得意识模糊。紧急脑部非增强CT扫描显示左侧幕上半球有两处出血，分别位于壳核和丘脑。
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