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脑干出血约占脑出血的10%左右,大部分位于桥脑。病因多为高血压病,其次为血管畸形。传统认为其典型的临床症状为突然发病,深昏迷,瞳孔缩小呈针尖样,四肢瘫,高热,常迅速死亡,自 CT 应用于临床以来发现不少临床症状很轻、经过良好或不典型的病例,现将伴有肢体多动、投掷样运动的桥脑出血两例报告如下。例1:女51岁,住院号2786。因一过性意识障碍,左侧偏瘫,失语,双手大幅度多动一天于89年3月1日入院。病人于一天前晚9时许看电视时突然自觉头部麻木,很快出现意识障碍,无呕吐及抽搐,短时间病人意识恢复,但不能言语,口角歪斜,吞咽困难,双上肢多动,以左侧明显,
Brainstem hemorrhage accounts for about 10% of cerebral hemorrhage, most located in the pons. Etiology and hypertension, followed by vascular malformations. The traditional view that the typical clinical symptoms of sudden onset, deep coma, dilated pupils were needle-like, quadriplegia, fever, often died quickly, since the CT has been found in clinical clinical very mild symptoms, after good or atypical cases , Now accompanied by extremity hyperactive, throwing kind of movement of the pons cerebral hemorrhage two cases are reported as follows. Example 1: Female 51 years old, hospital number 2786. Due to a transient disturbance of consciousness, left hemiplegia, aphasia, his hands greatly hyperactive one day in March 1, 89 admission. The patient suddenly felt numbness when he was watching TV 9 o’clock the night before, and soon he developed disturbance of consciousness, vomiting and convulsions. He recovered his consciousness in a short time but could not speak, his mouth was skewed, swallowing difficulties, his upper extremities hyperactive Obvious left,