高血压脑出血的类型随着CT问世以后,一些新的类型不断被发现。小脑蚓部及双侧丘脑同时发生高血压脑出血,国内外尚未见报导。现将作者最近所见的一例报告如下: 王某某,男,72岁。1986年2月12日。该患者于2月5日上午10时左右,在床上起坐后欲下地时,突然感到双眼发花,头迷,眩晕,恶心,呕吐,吐为胃内容物,随之意识丧失。12时被家人发现,急送医院。13时意识障碍渐恢复,急诊以“多发性脑梗塞”收入住院。既往高血压史十余年,三年前曾患“左侧脑血栓”,一个月后治愈。有烟酒嗜好。来院检查:意识清楚,语言欠流利,但能简单地叙述病史。血压180/100毫米汞柱,脉搏100次/分,呼吸20次/分,体温37.0℃,双侧瞳孔等大约3.0毫米,对光反应存在。双眼球向各方活动良好,无眼震。双眼底检查:除有中度动脉硬化改变外未见其他异常。双侧鼻唇沟对称,双耳听力 Types of Hypertensive Cerebral Hemorrhage With the advent of CT, a number of new types are constantly being discovered. Cerebellar vermis and bilateral thalamic hypertensive cerebral hemorrhage occurred at the same time, no reports at home and abroad. Now the author saw a recent report as follows: Wang Moumou, male, 72 years old. February 12, 1986. At about 10am on February 5, he suddenly felt his eyes flushed, dizziness, nausea, vomiting, vomiting, and vomiting of stomach contents, with subsequent loss of consciousness. At 12 o’clock the family was found, rushed to the hospital. At 13:00, the disturbance of consciousness gradually recovered. The emergency department was hospitalized with “multiple cerebral infarction”. Past history of hypertension more than ten years, three years ago had “left cerebral thrombosis,” a month after the cure. Alcohol and tobacco have a hobby. To check the hospital: a clear sense of language less fluent, but can simply describe the medical history. Blood pressure 180/100 mm Hg, pulse 100 beats / min, breathing 20 beats / min, body temperature 37.0 ℃, bilateral pupil about 3.0 mm, the presence of light response. Eyes all activities well, no nystagmus. Double eye examination: No abnormalities other than moderate arteriosclerosis. Symmetrical bilateral nasolabial fold, binaural hearing