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本文讨论了121例(男性69例,女性52例;年龄4～79岁)脑出血的CT扫描所见。根据出血的部位分为:基底节69例,大脑半球各叶34例,中脑和桥脑12例,小脑6例。各病灶部位的年龄分布:(1)大脑半球各叶病灶诸年龄组均有,以40—60岁为最多;(2)基底节病灶可见于11岁～70岁以上,以50～75岁为最多;(33后颅凹病灶仅见于40～70岁组。本组CT检查所见被认为与下列因素相关:(1)从临床出现症状至CT扫描之间的时间;(2)临床诊断;(3)大多数病例与脑脊液的检查和脑血管造影的结果相关。在这些病例中,进行CT追踪复查用以评价病情的发展和观察可能出现的脑出血合并症,以利研究及弄清脑出血发展的各阶段的特征,如局部水肿,脑室和蛛网膜下腔出血的百分率,脑室移位的发生以及病灶的形态和密度的特征。
This article discusses the CT scan of 121 patients (69 males, 52 females; age 4-79 years) with intracerebral hemorrhage. According to the site of bleeding are divided into: basal ganglia in 69 cases, 34 cases of the brain hemisphere, midbrain and pons in 12 cases, 6 cases of cerebellum. The age distribution of each lesion site: (1) Each hemispheric leaf lesions in all age groups, 40-60 years of age is the most; (2) Basal ganglia lesions can be seen in the 11 to 70 years of age, 50 to 75 years of age (33 posterior foveal lesions only seen in the 40 to 70 age group in this group of CT examination is considered to be related to the following factors: (1) from the clinical symptoms to CT scan time; (2) clinical diagnosis; (3) The majority of cases are related to cerebrospinal fluid tests and cerebrovascular angiography results, in which CT follow-up is performed to assess the progression of the disease and to observe possible complications of cerebral hemorrhage to facilitate the study and clarification of the brain Characteristics of various stages of bleeding development, such as local edema, percentage of ventricular and subarachnoid hemorrhage, incidence of ventricular transposition, and morphological and density characteristics of the lesion.