中风急性期各证头颅CT征象的研究

目的:通过对161例中风病患者头颅CT表现和临床辨证分型研究,探索中风病各证型头颅CT征象的规律性。方法:采用前瞻性及双盲法对161例中医辨证为中风病各证的患者,行头部CT平扫,观察、记录病变的性质、密度,病灶的大小、部位、周围水肿情况,出血量的多少,脑室的改变(包括脑室受压改变和出血破入脑室)和中线移位情况等,并进行统计学处理。结果:中经络与中脏腑证在病变性质、出血量、范围上有极显著差异,病变部位有显著差异,病变周围情况也明显不同。中脏腑闭证、脱证在脑出血发生率、大病灶发生率、脑出血量上有显著性差异。结论:中风病患者急性期头部CT表现可为中经络与中脏腑临床辨证提供参考,并指导临床治疗,估计预后。

The study of CT appearance in apoplectic patients at the acute stage

Objective:To evaluate the laws of CT appearance from the study on CT appearance and clinical differentiation of symptoms and signs of 161 apoplectic patients.Methods:Plain CT scans of the 161 apoplectic patients diagnosed by clinicians were analyzed.We observed and record the quality of the pathologic changes,size,position,hemorrhage volume and edema around the focus,changes of the ventricles of the brain (including constriction and hemorrhage expel to the ventricles of the brain),and displacement of the middle line.Then we dealed with these data by statistics.Results:There was marked difference in quality and size between apoplexy involving the channels and collaterals and apoplexy involving the solid organs and the hollow organs,and some difference also exised in the condition around the pathologic changes.While both the position of apoplexy involving the channels and collaterals and apoplexy involving the solid organs and the hollow organs were principally in the basal segmental area.Conclusion:CT diagnosis of the apoplectic patients suggested the clinical differentiation of symptoms and signs of apoplexy involving the channels and collaterals and apoplexy involving the solid organs and the hollow organs,and it's helpful to clinical treatment and estimation of prognosis.