Wednesday, March 26, 2008

How to distinguish between cerebral hemorrhage and cerebral thrombosis

Cerebral hemorrhage and cerebral thrombosis is bleeding and ischemic two entirely different nature of the cerebral vascular accident. No coma patient, especially a small brain hemorrhage and cerebral thrombosis clinical manifestations almost the same as in the brain CT come out before, it was difficult to distinguish between the two. Some statistics than 1000 cases of cerebral vascular accident patients, primary care units without a brain CT diagnosis before treatment, cerebral hemorrhage rate of 65%, in line with cerebral thrombosis rate of 58%. For the differential diagnosis of the following reference: 1. Transient cerebral ischemia precursor symptoms (dizziness dizzying, numbness, sports failure) was particularly prevalent in the cerebral thrombosis and cerebral hemorrhage rarely happens. 2. Disturbance of consciousness was particularly prevalent in the cerebral hemorrhage and cerebral thrombosis patients rarely see or not. 3. Six hours after the onset of lumbar puncture, cerebrospinal fluid to bloody cerebral hemorrhage, intracranial pressure may be high. CSF Qingliang cerebral thrombosis in general, within 24 hours of high pressure will not. 4. Event of a cerebral vascular accident, conditional should seize the opportunity to do as much as possible brain CT.

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