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桥脑出血:26例临床分析

Pontine haemorrhage: a clinical analysis of 26 cases.

作者信息

Masiyama S, Niizuma H, Suzuki J

出版信息

J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):658-62. doi: 10.1136/jnnp.48.7.658.

Abstract

Correlation with the size of the haematoma, neurological findings and prognosis was studied in 26 cases of hypertensive pontine haemorrhage, using CT. A good prognosis was found with no or mild disturbance of consciousness, normal pupils, and transverse diameter of the haematoma 20 mm or less. Most of the patients with poor prognosis became comatose within two hours of onset. Their pupils were dilated bilaterally, pin-point or anisocoric and the transverse diameter of the haematoma was over 20 mm.

摘要

采用CT对26例高血压性脑桥出血患者的血肿大小、神经学表现与预后的相关性进行了研究。结果发现,意识无或轻度障碍、瞳孔正常且血肿横径在20mm及以下者预后良好。大多数预后不良的患者在发病后两小时内陷入昏迷。他们双侧瞳孔散大、针尖样或不等大,且血肿横径超过20mm。

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本文引用的文献

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Computed tomography in brainstem hemorrhage.脑干出血的计算机断层扫描
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Primary pontine hemorrhage with complete recovery.原发性脑桥出血并完全康复。
Arch Neurol. 1981 May;38(5):320. doi: 10.1001/archneur.1981.00510050086019.
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Neurology. 1980 Jun;30(6):652-5. doi: 10.1212/wnl.30.6.652.
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