原发性延髓“心”形出血1例报道 A Case Report of “Heart” Shaped Primary Medullary Hemorrhage

临床上延髓出血是少见的脑出血类型,在文献中多以个案报道形式呈现,而双侧延髓内侧出血更为少见。本文介绍了1例老年男性患者,既往高血压病史多年,平日血压控制不佳,此次以“头晕、头痛伴恶心、呕吐”急性发病,后出现饮水呛咳、吞咽困难、失语、四肢瘫痪等症状。完善头颅CT提示双侧延髓内侧呈“心”形的高密度灶,明确诊断为延髓出血,并考虑此次发病与高血压有关。本文介绍了该患者的诊治经过,并从病因、临床表现、辅助检查、治疗以及结局等方面加以讨论,以期增加临床医师关于此病的诊治经验。 Abstract: In clinical practice, medullary hemorrhage is very rar...

Full description

Bibliographic Details
Main Author: 张青1,王旭2,张庆2,3 (ZHANG Qing1, WANG Xu2, ZHANG Qing2,3 )
Format: Article
Language:zho
Published: Editorial Department of Chinese Journal of Stroke 2024-02-01
Series:Zhongguo cuzhong zazhi
Subjects:
Online Access:http://www.chinastroke.org.cn/CN/article/openArticlePDF.jsp?id=3981