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[脑出血的CT鉴别诊断及表现(作者译)]

[CT differential diagnosis and findings in intracerebral haemorrhage (author's transl)].

作者信息

Schumacher M, Rossberg C, Stoeter P

出版信息

Arch Psychiatr Nervenkr (1970). 1982;231(2):171-85. doi: 10.1007/BF00343838.

Abstract

The CT findings of 73 patients with spontaneous and traumatic intracerebral haematomas are described. The course and pattern of resorption of the bleeding is evaluated. It is shown that the resorption of all haematomas is terminated by the end of week 7 independent of their maximum diameter. Only smaller haemorrhage of less than 2 cm can be resorbed in a shorter time. Moreover, the underlying pathophysiologic mechanisms of faster resorption of bleeding located in the basal ganglia and the neighbouring white matter are discussed. The CT findings revealed no clear-cut characteristics for differential diagnosis of the etiology of haematomas, but proved very helpful in defining the prognosis.

摘要

描述了73例自发性和外伤性脑内血肿患者的CT表现。评估了出血吸收的过程和模式。结果表明,所有血肿的吸收在第7周结束时终止,与血肿的最大直径无关。只有直径小于2cm的较小出血能在更短时间内吸收。此外,还讨论了位于基底节和邻近白质的出血吸收较快的潜在病理生理机制。CT表现未显示出血病因鉴别诊断的明确特征,但在确定预后方面非常有用。

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