双重影颅脑血肿诊断、形成机制、治疗.docVIP

双重影颅脑血肿诊断、形成机制、治疗【摘要】目的:探讨双重影颅脑血肿的诊断、形成机制、治疗。方法: 本文收集同一部位两次出血的病人96例，83例出现双重影颅脑血肿。均为脑内血肿。通过脑出血患者恢复期再次出血的临床观察 ,给予内科治疗及护理干预,预防其他意外事件发生等。结果: 双重影脑内血肿是同一部位间隔一定的时间两次出血形成的高、略高密度的双重血肿影像。一次出血进入吸收期内同一部位二次出血可形成双重影血肿，与急性期内二次出血对比，差异有统计学意义( P 0. 01) 。科学有效的内科治疗降低了脑出血患者再次出血后的致残率及死亡率;84例基本痊愈。结论: 双重影颅脑血肿并不少见，结合病史、临床症状、CT影像可以确诊。对恢复期脑出血患者通过内科治疗 ,可提高其治疗效果并可预防和减少诱发脑出血患者恢复期再次出血的危险因素。 【关键词】　脑血肿; 诊断；机制；治疗Double image of intracranial hematoma diagnosis and form mechanism and Cure 【Abstract】 Objective To investigate Double image of intracranial hematoma diagnosis and form mechanism and Cure．Methods This text collections 96 sases of rebleeding during absorption phase of hypertensive intracranial hemorrhage,83 sases had double image of intracranial hematoma , medical teratment and nursing care, prevention occurrence of accident. Results Double image intracerebral hematoma is the same part twice blooding to become high and slightly high density double image hematoma. When bleeding put in absorb the same part twice blooding to become high and slightly high density double image hematoma. with rapid period twice blooding contrast ，discrepancy have statistics significance( P 0. 01) 。 medical teratment and nursing care to lowering maim and death rate of rebleeding. during absorption phase of hypertensive intracerebral hemorrhage. 84 sases were cured...Couclusion The double image intracerebral hematoma be frequent ，unti sickness ，clinic symptom ，CT image may diagnose.. medical teratment rebleeding during absorption phase of hypertensive intracerebral hemorrhage,elevation curative effect and lowering and prevention rebleeding during absorption phase of hypertensive intracerebral hemorrhage. 【Keywords】 Intracerebral Hemorrhage; mechanism ; Cure【中图分类号】R605.9【文献标识码】A【文章编号】1004-5511（2012）06-0250-02 双重影颅脑血肿是脑出血的一种特殊形式，是指同一部位在一次出血后间隔一段时间二次出血形成的，两次出血密度高低有异形成不同密度的占位表现，即双重影像的血肿—双重影颅脑血肿。本文收集84例脑出血探讨双重影脑血肿的诊断、形成机制、治疗，经治疗后已痊愈，报告如下。 1临床资料与方法 我院自1990年~2010年收集96例颅内同一部位两次出血的病人，年龄21~73岁，平均47±9.8岁，男47例，女37例。8