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目的 :通过 2例原发性延髓出血患者的诊治 ,进一步提高对此病的认识。方法 :对 2例患者的临床症状及头颅磁共振结果进行观察 ,并给予保守治疗。结果 :患者 1,男 ,6 6岁 ,高血压病史。患者 2 ,女 ,2 8岁。临床表现多样 ,主表现头晕 ,呕吐 ,后组颅神经麻痹 ,肢体偏瘫或四肢共济运动失调。头MRI常规SE序列T1,T2 加权示 :延髓内高信号 ,均保守治疗后病情好转。结论 :原发性延髓出血临床少见且病情重 ,影象学发展 ,提高了此病的诊断率及存活率。
Objective: To further improve the understanding of the disease through the diagnosis and treatment of 2 patients with primary bulbar hemorrhage. Methods: Two patients with clinical symptoms and cranial magnetic resonance imaging were observed and given conservative treatment. Results: Patient 1, male, 6 6 years old, with a history of hypertension. Patient 2, female, 2 8 years old. Clinical manifestations varied, the main performance of dizziness, vomiting, cranial nerve paralysis, limb hemiplegia or limbs ataxia disorders. Head MRI conventional SE sequence T1, T2 weighted showed: bulbar intramedullary high signal, were conservative treatment of the condition improved. CONCLUSION: The rare clinical manifestations of primary bulbar hemorrhage and severe illness, imaging development, improve the diagnosis and survival rate of the disease.