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[伴有血液破入脑室系统的脑内出血的诊断]

[Diagnosis of hemorrhages in the brain with rupturing of blood into the ventricular system].

作者信息

Erokhina L G, Pashkina E S, Boiadzhian V A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(9):1290-4.

PMID:6506971
Abstract

Clinical observations of 424 patients with intracerebral hemorrhages (314 with parenchymatous-ventricular and 110 with parenchymatous) verified at autopsy are reviewed. An analysis of the observations allowed the differentiation of the very acute, acute and subacute forms of parenchymatous-ventricular hemorrhages. The incidence of some "classical" symptoms of parenchymatous-ventricular bleeding was shown to change. The erroneous diagnosis of the ischemic nature of the stroke in 7.7% of observations was analyzed. The accuracy of computing differential diagnosis (using Bies's procedure in postulating the independence of the signs) was 75-79% depending on the type and localization of cerebral hemorrhages.

摘要

对424例经尸检证实为脑出血(314例为实质-脑室出血,110例为实质出血)患者的临床观察进行了回顾。对这些观察结果的分析使得能够区分实质-脑室出血的极急性期、急性期和亚急性期形式。结果显示,实质-脑室出血一些“经典”症状的发生率发生了变化。分析了7.7%的观察中对中风缺血性质的错误诊断。根据脑出血的类型和部位,计算鉴别诊断(使用比耶斯程序假设体征的独立性)的准确性为75%-79%。

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