新建脑血管意外（New cerebrovascular accident）.docVIP

新建脑血管意外（New cerebrovascular accident） 1.. What are the clinical features of intracerebral hemorrhage in different parts of the brain? According to the location of bleeding, the clinic can be divided into two parts: 1. cerebral hemorrhage in basal ganglia hemorrhage: hematoma located in the medial capsule and its inside, can appear on the contralateral side of central hemiplegia and hemianesthesia, contralateral homonymous hemianopia, eyes to the ipsilateral gaze. Bleeding in the dominant hemisphere can exercise and / or sensory aphasia; in the non dominant hemisphere hemorrhage, can have agnosia and apraxia. In acute flaccid paralysis, after a few days or weeks after emergence of spastic paralysis. The longer the flaccid paralysis, the worse the recovery of limb function. Medial bleeding to the perforation of the ventricles, the condition is more serious. When the hematoma presses the surrounding brain tissue, causing brain edema and intracranial pressure increasing rapidly, coma, paralysis of both limbs and rigidity of the brain can occur. There may be gastrointestinal bleeding, vomiting of coffee residue sample liquid, body temperature, pulse rate, respiration, blood pressure and other symptoms of snoring in the hypothalamus is damaged, the pupil can appear suddenly suddenly small, scattered large hernia or side symptoms, and severe illness. 9 lateral bleeding: the function of nervous system damage lighter, more paralysis is not serious, was clear, with good prognosis. The hematoma occupies the internal and external sacs, which is called mixed hemorrhage, and the prognosis is very serious. The majority of the cerebral blood in the 2. pons is caused by the rupture of the para median artery of the basilar artery. Light, bleeding is less, more than the bridge side of the brain, can appear on the side of the bridge of the brain damage signs. Such as the ipsilateral facial numbness or abducens nerve, facial nerve paralysis, contralateral limb paralysis and deep feeling