Skriver E B, Olsen T S
Acta Radiol Diagn (Stockh). 1986 Sep-Oct;27(5):495-500. doi: 10.1177/028418518602700502.
Tissue damage as sequelae after spontaneous intracerebral hemorrhage in eight consecutive patients was investigated with computed tomography performed 3 days, 2 weeks and 6 months after the stroke. The presence of contrast enhancement after 2 weeks, hypodense areas after 6 months, and atrophy of adjacent structures were considered to be markers of irreversible tissue damage. Except for a narrow zone in the periphery of the hematoma (ring blush) contrast enhancement was not observed, neither in the hematoma nor in areas where resolution had taken place. After 6 months the site of the hematomas was not identifiable in 3 patients, and 4 patients had small 'lacunar' hypodense lesions. Only one patient had a more extensive hypodense area 6 months after the hemorrhage. The most prominent sequelae after intracerebral hematoma were atrophy of adjacent structures (i.e. atrophy of basal ganglia, thalamus and ventricular enlargement) which were seen in all patients even though irreversible de loco damage in the hematoma area was sparse or absent.
对连续8例自发性脑出血患者中风后3天、2周和6个月进行计算机断层扫描，研究组织损伤作为后遗症的情况。2周后出现对比增强、6个月后出现低密度区以及相邻结构萎缩被认为是不可逆组织损伤的标志。除血肿周边的狭窄区域（环状红晕）外，在血肿内或已溶解区域均未观察到对比增强。6个月后，3例患者的血肿部位无法识别，4例患者有小的“腔隙性”低密度病变。出血6个月后，只有1例患者有更广泛的低密度区。脑内血肿最突出的后遗症是相邻结构萎缩（即基底节、丘脑萎缩和脑室扩大），所有患者均出现这种情况，尽管血肿区域的不可逆局部损伤很少或不存在。
