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过去认为腔隙状态是由于脑深部小穿支动脉梗塞所致。本文作者从174例脑出血患者中查出19例符合腔隙综合征的诊断,认为脑深部小灶性出血也是腔隙综合征的重要成因之一,并对有关鉴别诊断提出了新的见解。 174例脑出血病人均经CT证实和详尽的神经科检查,19例表现为腔隙综合征,其中男性10例,女性9例,年龄38～81岁,平均60.6岁。19例中4例为纯运动轻偏瘫,5例为共济失调轻偏瘫,3例为构音不良一手笨拙综合征,7例为感觉运动性卒中,无单纯感觉性卒中。入院时17例血压高于160/95mmHy,发病时仅有2例表现为头痛,1例恶心呕吐,均无颈项强直。急骤起病16例,逐渐起病2例,起病时症状
In the past that the lacunar state is due to deep brain infarction caused by a small perfusion. The authors identified 19 cases of lacunar syndrome diagnosed in 174 patients with cerebral hemorrhage. It is believed that focal deep intracerebral hemorrhage is one of the important causes of lacunar syndrome, and put forward new ideas about the differential diagnosis. 174 cases of cerebral hemorrhage were confirmed by CT and detailed neurological examination, 19 cases showed lacunar syndrome, including 10 males and 9 females, aged 38 to 81 years, mean 60.6 years old. Of the 19 patients, 4 were mild motor hemiplegia, 5 were ataxia-hemiparesis, 3 were dysfunctional uterine dysfunction syndrome, and 7 were sensory-motor stroke without a simple sensory stroke. 17 cases of hypertension at admission higher than 160 / 95mmHy, the onset of only 2 cases showed headache, nausea and vomiting in 1 case, no neck stiffness. 16 cases of acute onset, gradually onset in 2 cases, onset symptoms