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| 題 名 | 不常見但預後良好的原發性單側頂蓋部橋腦出血:一病例報告=Primary Unilateral Pontine Tegamental Hemorrhage--A Case Report |
|---|---|
| 作 者 | 冼鴻曦; 王潤倫; 陳志程; | 書刊名 | 中華民國重症醫學雜誌 |
| 卷 期 | 7:3 民95 |
| 頁 次 | 頁135-140 |
| 分類號 | 415.92 |
| 關鍵詞 | 原發性橋腦出血; 高血壓; 預後; Primary pontine hemorrhage; Hypertension; Prognosis; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 原發性橋腦出血通常預後不佳,多半於發病時立即呈現深度昏迷,同時合併四肢癱瘓,呼吸衰竭,死亡率很高。即使僥倖存活,也會遺留嚴重的後遺症。多數患者會有嚴重失能及殘障且終身臥床,需依賴他人養護。原發性橋腦出血也有少數預後良好,甚至可能完全復原的病例,兩者有如此大的差異在於出血的位置、大小、出血是否延伸至中腦或破入腦室等都會影響預後。本文提出一位69歲男性因為暈眩,嘔吐,複視,及步履不穩等症狀而住院。以磁振造影檢查確定診斷為橋腦右側頂蓋部出血,經住院觀察及復健治療後完全康復,並無明顯後遺症出現。本文並就原發性橋腦出血的分類、臨床症狀、治療與預後的關聯性來探討此一嚴重的腦血管疾病。 |
| 英文摘要 | Primary pontine hemorrhage always has a poor outcome. Most of the patient presented as deep coma, total paralysis and respiratory collapse with a very high proportion of mortality. The survivors will be entirely bed ridden and need others to handle all the daily activity. There are also a few cases of primary pontine hemorrhage have a favorable prognosis even recovered completely. The different outcome between these two conditions is related to the level of consciousness, respiratory changes, the size location and extrapontine extent of hematoma. We report a case of small unilateral tegmental hemorrhage with a satisfactory clinical outcome and complete recovery 6 months later. The clinical manifestations of primary pontine hemorrhage and prognosis correlations are also discussed. |
本系統中英文摘要資訊取自各篇刊載內容。