简介:摘要目的探讨大面积大脑半球梗死患者的少见病因、临床特点及结局.方法对13例少见病因所致的大面积大脑半球梗死患者的病因、临床特点及结局进行分析.结果13例患者中有6例不存在任何常见脑血管病危险因素,余7例患者中,3例为自发性颈动脉夹层,1例为moyamoya病,1例为升主动脉夹层动脉瘤,1例为真性红细胞增多症,1例为脑出血血肿清除术后继发同侧半球大面积脑梗死.11例(84.6%)患者在住院期间发生了神经系统及全身并发症,4例患者行去骨瓣减压术.至3月随访期末,6例患者死亡,存活者中仅1例生活基本自理,余6例均遗留中至重度残疾.结论大面积大脑半球梗死病因搜索过程中应重视病史询问.少见病因大面积大脑半球梗死患者虽更年轻,有更少的合并症,整个病情发展仍极其凶险,预后极差.关键词大面积大脑半球梗死;病因;预后Unusualcausesof1argehemisphereinfarctionacaseseriesof13patientsAbstractobjectiveToexplorethepathogenesis,characteristicsandoutcomeoflargehemisphereinfarctionofunusualcauses.MethodsThirteencasesoflargehemisphereinfarctionofunusualcauseswereprospectivelyregisteredandanalyzedtheirstrokepathogenesis,clinicalcharacteristicsandclinicaloutcome.ReGsultsAmongthe13patients,10wereundertheageof60yearsold.Mostofthepatientswereinacriticalconditiononadmission.12sufferedconsciousdisturbGanceonadmissionand5withcoma.Thepatientssufferedstroke-relatedneurologicalormedicalcomplicationsduringhospitalizationand4underwentdecompresGsivesurgery.InclusionAdetailedpatienthistoryisofgreatimportanceinthepathogenesisoflargehemisphereinfarctionespeciallyforyoungerpatients.AlGthoughpatientswithlargehemisphereinfarctionofunusualcausesareyoungerandwithlesscomorbidities,theirexpectedclinicalcourseareseriousandmostlyhaveaKpeoyorwoorudtscome.largehemisphereinfarction,pathogenesis,outcome中图分类号R733文献标识码B文章编号1008-6315(2015)12-0905-01
简介:1诗歌吗?不,诗人并不最初就有写作对象、写作形式以及他个人的意象世界的.当他聆听到某种声音时,脑子里会猛一发亮,像有特异反应功能的人眼睛里发出炯炯的光芒,他以独特的眼光观察事物,事物也按某种特定的安排审视此人.诗人撞上独裁者,被迫听他个人的只会警告而从不作安慰的类似苏格拉底的恶魔的口述.在他的影响下,诗人不得不竭力去寻找措辞,就像他不得不呼吸一样.我们不能不对什么都追根求源,但也知道:每首诗的创作都归咎于某位误入歧途之神经质.他的病状不断出现,无论他如何将自己投入哲学、政治或技术领域.几乎没什么比诗更让读者出乎意料地面对荒谬,面对孤独的偏见;而这荒谬和偏见,往往是令人不愉快的条件反射的结果.它们带诗人走入一个内向的想象的世界,后者试图与外界抗衡.