中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
24期
6-8
,共3页
中风%丘脑出血%中风急诊证候%CT
中風%丘腦齣血%中風急診證候%CT
중풍%구뇌출혈%중풍급진증후%CT
Stroke%Thalamus hemorrhage%Syndrome of stroke%CT
目的：探讨丘脑出血性中风急症证候与颅脑CT影像的关系，以求指导临床治疗和预防。方法：根据15例丘脑出血患者临床症状，体征，颅脑 CT 影像诊断和相应出现中医证候进行中医辨证；结果：将丘脑出血超急期中医中风诊断为：中风中脏腑、肝阳暴张，风火夹痰，上蒙清窍，闭证，或脱证闭症并见；中风中经络肝肾阴虚风阳上扰。结论：结合 CT 诊断，丘脑出血性中风证候特点是突然神昏、半身麻木，半身不遂，舌强语謇，口眼歪斜，双目斜视；以神昏，半身麻木和半身不遂多见。颅脑CT检查可以及时确诊。
目的：探討丘腦齣血性中風急癥證候與顱腦CT影像的關繫，以求指導臨床治療和預防。方法：根據15例丘腦齣血患者臨床癥狀，體徵，顱腦 CT 影像診斷和相應齣現中醫證候進行中醫辨證；結果：將丘腦齣血超急期中醫中風診斷為：中風中髒腑、肝暘暴張，風火夾痰，上矇清纖，閉證，或脫證閉癥併見；中風中經絡肝腎陰虛風暘上擾。結論：結閤 CT 診斷，丘腦齣血性中風證候特點是突然神昏、半身痳木，半身不遂，舌彊語謇，口眼歪斜，雙目斜視；以神昏，半身痳木和半身不遂多見。顱腦CT檢查可以及時確診。
목적：탐토구뇌출혈성중풍급증증후여로뇌CT영상적관계，이구지도림상치료화예방。방법：근거15례구뇌출혈환자림상증상，체정，로뇌 CT 영상진단화상응출현중의증후진행중의변증；결과：장구뇌출혈초급기중의중풍진단위：중풍중장부、간양폭장，풍화협담，상몽청규，폐증，혹탈증폐증병견；중풍중경락간신음허풍양상우。결론：결합 CT 진단，구뇌출혈성중풍증후특점시돌연신혼、반신마목，반신불수，설강어건，구안왜사，쌍목사시；이신혼，반신마목화반신불수다견。로뇌CT검사가이급시학진。
Objective:To investigate the relationship between the syndrome of thalamus hemorrhagic stroke and the image of 15 cases of craniocerebral CT in order to guide the clinical treatment and prevention. Methods:According to clinical symptoms, signs and the image of craniocerebral CT of 15 cases of thalamus hemorrhagic patients, the differentiation of TCM for the syndrome of stroke is performed. Results: The stroke in Chinese medicine with thalamuns hemorrhage during early ischemia is diagnosed as follows:hyperactivity of stroke involving the organs and liver-yang, obstruction by wind-phlegm, disturbing the seven orifices, blockage syndrome. Apoplxia channels, Yin deficiency of liver and kidneys, Fengyang Shangrao. Conclusion: With CT diagnoses, the characteristics of the syndrome of thalamus hemorrhagic stroke are significant clinical syndromes such as unexpected mental confusion, hemiplegia, inclined mouth and eye changing, tongue shortness or spansm and so on, and they could be diagnosed by CT in time.
