论文部分内容阅读
作者对过去4年间根据神经症状及各项检查临床诊断的丘脑出血者34例(包括手术4例,8例为剖检证实、年龄30～70岁、男女各17例)作一分析。病理所见①血肿部位:血肿以外侧核为中心(以下称外侧核出血)2例,以内侧核为中心(以下称内侧核出血)1例,余5例外侧核、内侧核均被大血肿所破坏(以下称丘脑全出血)。②血肿的进展和扩延:外侧核出血血肿均波及邻近的内囊后肢,进而向内囊上下扩延,向后破坏丘脑枕,并在丘脑和尾状核尾部之间,即三角区向侧脑室三角部穿破。有2例血肿进而向前方扩延,沿内囊于尾状核体部和丘脑之间,即从终纹破入侧脑室。内侧核出血血肿向邻近的第三脑室破溃,并向下延及丘脑下
In the past 4 years, the authors analyzed 34 cases of thalamic hemorrhage (including 4 cases of surgery, 8 cases of confirmed thalamic hemorrhage, 30 to 70 years of age, 17 men and women) according to neurological symptoms and clinical examination of various examinations. Pathological findings ① hematoma site: the lateral nucleus of the hematoma as the center (hereinafter referred to as lateral hemorrhage) in 2 cases, to the medial nucleus as the center (hereinafter referred to as medial hemorrhage) in 1 case, the remaining 5 cases of the lateral nucleus, the medial nucleus were large hematoma Destroyed (hereinafter referred to as thalamic bleed). ② progress and expansion of hematoma: lateral hematoma of hemorrhage are spread to the adjacent internal capsule hind limbs, and then to the internal capsule up and down, the destruction of the thalamus occipital, and tail in the thalamus and caudate nucleus, that is, to the side of the triangle Ventricular triangle wear. There are 2 cases of hematoma and then extended to the front, along the sac in the caudate nucleus and the thalamus, that is, from the final pattern into the lateral ventricle. The medial haemorrhage hematoma ruptures into the adjacent third ventricle and extends downward into the hypothalamus