脑出血急性期的临床证型与CT表现的对照研究.pdfVIP

维普资讯 CJCM 中华实用中西医杂志 2003年 、rOL．3 (161 NO．1 ·3 脑出血急性期的临床证型与 CT表现的对照研究 ComparativeStudybetween theDifierentiation0f TCM SyndromeandtheCT Findingsabout HemorrhagicApoplexyduringAcuteStage 解放军252医院 (071000) 田锦林 李四强 马玉琛 DepartmentofCT，PLA252Hospital，Baoding (071000) TianJinlin，LiSiqiang，MaYuchen Abstract Purpose：TostudythecorrelationbetweenTraditionalChineseMedicine(TCM)differentiationofsyn． dromesofapoplexyduringacutestageandCTfindings．MaterialsandMethods：WeretrospectivelyreviewedtheCTim- agingandclinicalrecordsof83patientswithTCM differentiationofsyndromesofapo plexyduringacutestage，namely， Zhongzangfurebi(heatconladuetomiddleinternalorganshemorrhage)，Zhongzangfuhanbi(coldcoma)andZhong- znasfu (collapsedcoma)．Theirrelatit、·wasanalvzed．Results：ByCTexamination74caseswerediagnosedhemor． rhageinbasalganglionarea，4casesinsubcortical areaofhemisphere，3casesincerebellum，2casesinbrainstem； whilebysyndromedifferentiationofTCM 40casesbelongedtoZhongzangfurebi，20casesZhongzangfuhanbi，23case~ Zhongzangfutuo．ItWas foundthatZhongzangfutuowerehighlycorrelatedwithCTfeaturesofhaemorrhaginginventricle andbrainstem，morecapacityofbleeding (30m1)．ThereWas asingificancecomparingtoZhongznagfurebinad Zhongzangfuharrbi(P0．05)．Conclusion：ThisstudyindicatesthatinherentrelationbetweenCTfindingsandclinical dffierentiationofsnydromesofapoplexyofTCM existsandCT scanmayhavesignificnatimplicationinhtedffierentiation ofsnydromesnadtreatmentofstrokeduringacutestage． Keywords Traditional ChineseMedicine differentiation apoplexy computedtomography 摘 要 目的：研究中风中脏腑型脑出血急性期病人的临床证型与 CT表现的关系。材料与方法：回 顾性分析 83例急性期脑 出血中医辨证为中风 闭证病人的临床资料与CT表现，按照中医中风的辨证分型分 组：中脏腑热闲证 、中脏腑寒闭证 、中脏腑脱证，结合其 cT表现进行分析，研究各证 型与．出血部位、出 血量之