顱內(nèi)血腫英文ppt課件-文庫吧資料
2025-01-10 23:36本頁面
【正文】 sory impairment over contralateral face, arm and leg homonymous defect of visual field, aphasia may be present with lesions of the dominant side. CLINICAL PICTURE 3. Local neurological symptoms ? Cerebral lobe hemorrhage: symptoms and signs vary with the site and size of the hemorrhage. CLINICAL PICTURE ? Pontine hemorrhage: deep a usually ensues in a few minutes, total paralysis tiny pupils high fever death usually occurs within a few hours CLINICAL PICTURE ? Cerebellar hemorrhage: occipital headache, repeated vomiting, vertigo, occular bobbing. a as a result of brainstem pression, then irregular respiration, death. CLINICAL PICTURE ? Ventricular hemorrhage: *Secondarybleeding from the brain tissue *Primarybleeding originally in ventricle or around ventricle( cm) headache, vomiting, Kernig sign(+). deep a, total paralysis, high fever, tiny pupils, then deep, or irregular respiration, death. LABORATORY FINDINGS 1. White blood cell count in the peripheral blood often rises to1520x1012. 2. CT scan:reliable in the detection of hemorrhage 1,5 cm or more diameter situated in cerebral or cerebellar hemosphere, but not small pontine hemorrhage. MRI LABORATORY FINDINGS : Bloody CSF(blood cells inside) angiography: demonstrates an aneurysm or AVM. DIAGNOSTIC PROBLEMS ? + signs + CT scan or MRI DIAGNOSTIC PROBLEMS diagnosis ? Diseases that cause a: diabetic, hepatic, uremic and alcoholic etc. ? Diseases that cause brain lesions: tumor, trauma, encephalitis etc. ? Other types of stroke: cerebral infarction, subarachnoid hemorrhage. TREATMENT stage save life, prevent plication(in principle) General medical managements Treatment must start at nearest hospital ? Establishment of a clear airway and delivery of oxygen if necessary. ? Lateral position to prevent secretions and vomitus enter the tracheobronchial tree. Endotracheal tube must be inserted if necessary. General medical management ? Intravenous line should be established and blood samples must be taken for the measurement of the blood elements as well as glucose, electrolytes and for tests of liver and kidney function. Therapy for cerebral edema In the first few days following hemorrhage ,
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