Greenberg J O, Skubick D L
Department of Neurology, Episcopal Hospital, Philadelphia, PA 19125.
Comput Tomogr. 1977;1(4):349-57. doi: 10.1016/0363-8235(77)90019-9.
Intracerebral hemorrhage has been thought in the past to be manifested by sudden onset of hemiplegia, severe headache and deep coma proceeding to death in most cases. There are patients who present with less ominous symptoms who have heretofore been though to have cerebral infarction or transient ischemic attacks who in reality have intracerebral hemorrhages. Computerized tomography has allowed us to identify these patients and to separate them from the large group of patients with ischemic infarcts either due to thromboses or emboli. Six patients were reported with unexpected brain hemorrhages and their good prognosis is emphasized.
过去一直认为脑出血的表现为突然出现偏瘫、剧烈头痛,并在大多数情况下发展为深度昏迷直至死亡。有些患者症状较轻,以往被认为是脑梗死或短暂性脑缺血发作,而实际上是脑出血。计算机断层扫描使我们能够识别这些患者,并将他们与因血栓形成或栓子导致的大量缺血性梗死患者区分开来。报告了6例意外脑出血患者,并强调了他们良好的预后。