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非高血压性自发性颅内血肿54例临床分析
引用本文:陈立华,陈善成.非高血压性自发性颅内血肿54例临床分析[J].中华神经外科杂志,1996,12(1):32-34.
作者姓名:陈立华  陈善成
作者单位:湖南医科大学湘雅医院神经外科
摘    要:报告54例非高血压性自发性颅内血肿。常见病因为血管畸形(占44%)。CT、MRI是最好的定位诊断方法,MRI还可显示畸形血管,脑血管造影常可作出病因诊断。手术治疗47例,作者主张开颅显微手术,既可以清除血肿,又有可能提供病因诊断线索,及时采取治疗措施,预防再次发生出血。

关 键 词:自发性,颅内血肿,诊断,显微外科手术

Non-hypertensive spontaneous intracerebral hematomas:analysis of 54 casesr
Chen Lihua, Cao Meihong, Qin Tiansen,et al..Non-hypertensive spontaneous intracerebral hematomas:analysis of 54 casesr[J].Chinese Journal of Neurosurgery,1996,12(1):32-34.
Authors:Chen Lihua  Cao Meihong  Qin Tiansen  
Abstract:cases with non-hypertensive spontaneous intracerebral hematomal(ICH)were reported, it is most commonly secondary to vascular malformations (44%).CT scan and MRI are main diagnostic means in showing the lesions, especially MRI can establish etiolgical diagnosis. 47 patients were treated surgically to remove the hematoma, in which 3l patients had been treated microsurgically. The microsurgical operations not only evacuate ICH but also demonstrate and treat the etiology,and prevented recurrence of ICH .
Keywords:Spontaneous  Intracranial hematoma  Diagnosis  Microsurgery
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