脑出血、蛛网膜下腔出血是常见的颅内出血,属出血性卒中,对此类疾病研究报道甚多,但以精神障碍为首发症状的颅内出血的病例报道分析较少。现就本院近年收治的24例病例报道如下。 1 临床资料 1.1 一般资料 24例中男17例,女7例;年龄34～78岁,60岁以上16例(67％),平均60.4岁。发病前有高血压病者10例(41.7％)。入院时血压增高者12例(50％)。动态发病20例(83.3％),其中2例有颅脑外伤,静态发病4例(16.7％),21例(87.5％)病前遭遇生活事件即存在应激源,其中沮丧10例,家庭纠纷6例,其他5例。 1.2 临床表现 24例均以精神障碍为首发症状,其中5例为疾病全程的唯一症状。起病至入院时间为1～10天,平均为4天,入院至确诊时间为1～14天,平均为7.8天。精神症状持续时 Intracerebral hemorrhage, subarachnoid hemorrhage is a common intracranial hemorrhage, hemorrhagic stroke, there are many reports of such diseases, but the incidence of intracranial hemorrhage with mental disorders as the first symptom less case analysis. Now in our hospital admitted in recent 24 cases are as follows. 1 Clinical data 1.1 General Information 24 cases of male 17 cases, 7 females; aged 34 to 78 years old, 60 years of age in 16 cases (67%), an average of 60.4 years old. Before the onset of hypertension in 10 patients (41.7%). Admission of blood pressure in 12 cases (50%). There were 20 cases (83.3%) with dynamic head injury, 2 cases had craniocerebral trauma, 4 cases (16.7%) with static disease, and 21 cases (87.5% 6 cases, the other 5 cases. 1.2 Clinical manifestations were 24 cases of mental disorders as the first symptom, of which 5 cases of the disease is the only symptom. From onset to admission for 1 to 10 days, an average of 4 days, admission to the diagnosis of time for 1 to 14 days, an average of 7.8 days. Mental symptoms persist