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本文为1990年3月至1990年5月治疗言语障碍者22例,男19例,女3例,脑出血3例,脑血栓19例。脑出血言语障碍的发生明显少于脑血栓,这与国内统计相符合。脑出血表现的音韵障碍,常被误认为不完全性运动失语,而且常被神经科医生所忽略。我们体会:脑出血表现的音韵障碍时间持续较短,在发病当时检查明显,而第一周复查时,大部消失,甚至3～5天就逐渐消失,而运动失语则以口语表达障碍,且持续时间较长。脑血栓构音障碍常为皮质下失语或累及双侧半球的多灶梗塞。
This article from March 1990 to May 1990 treatment of speech disorders in 22 cases, 19 males and 3 females, 3 cases of cerebral hemorrhage, cerebral thrombosis in 19 cases. The incidence of cerebral hemorrhage speech disorder was significantly less than cerebral thrombosis, which is consistent with the domestic statistics. Phonological disorders that manifestations of cerebral hemorrhage are often mistaken for incomplete motor aphasia and are often overlooked by neurologists. We understand: the performance of cerebral hemorrhage phonological disorder continued for a short time, the onset of examination was obvious, and the first week of review, most disappeared, and even 3 to 5 days gradually disappear, and exercise aphasia in oral expression disorder, and Longer duration. Cerebral thrombus dysarthria is often a subcortical aphasia or involving multiple hemispheric infarction.