脑出血与脑梗塞的鉴别诊断

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脑出血一般指高血压性脑出血,好发生在大脑半球的基底节附近,常在白天活动中突然发生,表现为偏瘫,同时伴有头痛、呕吐和/或意识障碍等急性高颅压症状。脑血栓和脑栓塞同是由脑动脉腔狭窄或闭塞引起脑组织缺血造成的脑梗塞,也常发生在大脑半球。脑血栓多指在脑动脉粥样硬化的基础上动脉壁逐渐形成附壁血栓,因此发病相对较缓,偏瘫常在数小时或数日内达到高峰,多无头痛、呕吐和意识障碍等急性 Intracerebral hemorrhage generally refers to hypertensive intracerebral hemorrhage, occurs well in the basal ganglia of the cerebral hemispheres, and often occurs suddenly during the daytime activities, manifested as hemiplegia, accompanied by symptoms of acute high intracranial pressure such as headache, vomiting and / or disturbance of consciousness. Cerebral thrombosis and cerebral embolism with the cerebral artery stenosis or occlusion caused by cerebral ischemia caused by cerebral infarction, often occurs in the cerebral hemispheres. More refers to the cerebral thrombosis in the basis of cerebral atherosclerosis of the arterial wall and the formation of mural thrombus, so the incidence is relatively slow, hemiplegia often reach the peak within hours or days, and more without headache, vomiting and disturbance of consciousness and other acute
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