青年脑出血

本文报告经脑CT确诊的33例39岁以下青年脑出血,占脑出血病例的15%,出血多位于脑叶。青年脑出血有以下特点:(1) 头痛、呕吐、抽搐、颈强等症出现率高;(2) 昏迷、共同偏视、偏瘫、一侧病理征、高血压等症出现率低;(3) 在病因方面,青年脑出血主要由脑血管畸形引起(4) 对所有病例均应争取做脑CT及脑血管造影检查,发现脑血管畸形应行外科手术。青年脑出血预后良好。

CEREBRAL HEMORRHAGE IN YOUNG PATIENTS

Thirty-three cases of corebral homerrlage, all below 39 years old, diagnosed by cerebral CT, are reported in this paper. The morbedity was 15%, The hemorrhage was mainly located in the lobes. The characteristics of the cases were as follows. (1) The ligh occurance was headache, vomit, tic, neck rigidity, etc. (2) The low occurance was uneonsciousness, common deviationplegia, hemiplegia, one-sids pathology hypertensien etc. ( 3 ) Cereblal hemorrhage in young patients was malnly caused by cerebral vascular malformation. ( 4 ) Every effort shculd be made to check cerebral CT and cerebral vascular angiogoraphy. Once cerebral malfermation be detected, immediate operation would performed, the outcome coulol be better.