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报告74例非高血压性自发颅内血肿。常见原因为血管畸形(占56.8%)。CT检查对病因诊断有提示作用。MR检查能显示血管畸形和动脉瘤。脑血管造影常可作出病因诊断,并对手术有重要的指导作用。4例患者合并有高血压,而出血的部位与畸形血管团或肿瘤一致,作者认为是非高血压性自发性血肿。治疗上主张开颅手术,既可清除血肿,又可提供病因诊断依据,并及时采取治疗措施,预防再次出血。
Report 74 cases of non-hypertensive spontaneous intracranial hematoma. Common causes of vascular malformations (56.8%). CT examination of the etiological diagnosis has prompted. MR examination can show vascular malformations and aneurysms. Cerebral angiography can often make etiological diagnosis, and has an important guiding role in surgery. 4 patients with hypertension, and the site of bleeding and vascular abnormalities or tumor consistent, the authors consider non-hypertensive spontaneous hematoma. Treatment advocated craniotomy, can clear the hematoma, but also provide the basis for the diagnosis of etiology, and timely treatment to prevent rebleeding.