脑实质内出血

紧急程度高
-极为严肃

这是大脑内部的流血。如果它体积庞大,它会损坏远离大脑的区域,这些区域由于头骨内的压力增加而处于受压状态。

出血可以是自发的(如果是高血压,糖尿病,吸烟者则更常见)或继发于创伤。

它表现为强烈且迅速进展的头痛。根据出血的位置,将会失去力量或敏感度,说话困难,视力障碍和意识水平改变。

怀疑的诊断是通过临床检查和体格检查进行的。有必要用计算机断层扫描和/或磁共振来确认它。

它需要镇痛药来治疗与压力增加相关的头痛和预防癫痫发作的药物。

参考文献
  1. Guy Rordorf. Colin McDonald. Spontaneous intracerebral hemorrhage: Pathogenesis, clinical features, and diagnosis. UpToDate. Dec04, 2013.
  2. Guy Rordorf. Colin McDonald. Spontaneous intracerebral hemorrhage: Treatment and prognosis. UpToDate. May 21, 2014.
  3. Broderick J, Connolly S, Feldmann E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke 2007; 38:2001.
  4. Abid KA, Vail A, Patel HC, et al. Which factors influence decisions to transfer and treat patients with acute intracerebral haemorrhage and which are associated with prognosis? A retrospective cohort study. BMJ Open 2013; 3:e003684.
  5. J Claude Hemphill, III. Nicholas Phan. Traumatic brain injury: Epidemiology, classification, and pathophysiology. UpToDate. Apr 13, 2013.
作者
医生 Sara Vitoria
版权
© TeckelMedical 2026

症状

    头痛


    嘴巴偏位,说话、力量或敏感度改变


    半个身体失去知觉


    咨询期间的高血压


    恶心

院前建议

服用非处方止痛药或抗炎药。