摘要
目的：研究丘脑血肿与急性期主要临床症状的关系。方法：对原发性丘脑出血８１例患者的意识水平、头痛、失语症状与血肿ＣＴ表现进行统计分析。结果：经比较，有统计学差异的指标有①继发性脑室出血与单纯丘脑出血的昏迷发生率和头痛发生率；②不同意识水平病人组的丘脑出血量；③失语组与非失语组的血肿直径。结论：继发性脑室出血患者容易发生昏迷，而单纯组患者丘脑出血量１７～２２ｍＬ者即可引起昏迷；血肿直径大于３ｃｍ者常合并失语；
Objective:To study the relationship between thalamic hematoma and major clinical fin dings in acute phase.Methods:Clinical manifestations including state of consciousness,headache and aphasia were analyzed statistically and compared with CT manifestations in 81 patients with primary thalamic hemorrhage.Results:Statistically significant differences were found in the following comparisons:①Incidence of coma and incidence of headache between patients with and without secondary ventricular hemorrhage(SVH).②The amount of thalamic hemorrhage among three groups at different conscious level.③The maximal diameter of thalamic hematoma between patients with or without aphasia.Conclusions:SVH or simple thalamic hemorrhage with 17～22 mL of blood may cause coma.Hematoma with maximal diameter greater than 3 cm was often associated with aphasia.The incidence of headache is higher in patients with SVH.
出处
《新医学》
1998年第6期291-292,共2页
Journal of New Medicine
