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脑肿瘤意识障碍临床分析
引用本文:张光先,方树友,倪进军.脑肿瘤意识障碍临床分析[J].肿瘤基础与临床,1991(1).
作者姓名:张光先  方树友  倪进军
作者单位:河南医科大学一附院神经内科,河南医科大学一附院神经内科,开封市中医院 进修医师
摘    要:本文观察502例脑肿瘤中,有47例出现意识障碍(9.4%)。其发生机制主要有:①脑疝形成;②普遍性颅内压增高引起脑缺氧;③肿瘤内出血;④肿瘤部位如额、颞叶、上脑干等的直接损害;⑤癫痫发作。脑疝形成是主要死亡原因。简要讨论了脑肿瘤意识障碍的临床特点、预后因素以及脑中心性疝的早期诊断。

关 键 词:脑肿瘤  意识障碍  昏迷

Clinical Analysis of Unconsciousness in Cerebroma
Zhang Guangxian,et al The First Affiliated Hospital of Henan Medical University.Clinical Analysis of Unconsciousness in Cerebroma[J].journal of basic and clinical oncology,1991(1).
Authors:Zhang Guangxian  The First Affiliated Hospital of Henan Medical University
Abstract:Forty seven of unconsciousness in 502 patients with cerebroma(9.4%) were analysed. The mechanism of unconsciousness may include the following one or more: 1. cerebral hernia; 2. cerebral hypoxia caused by general intracranial pressure;3. tumor hemorrhage; 4. some regions such as frontal, temple lobes or brainstem tumors which can directly destroy activating structures and conscious regions; 5. epilepsy. The clinical features and prognostic factors of unconsciousness in cerebroma and early diagnosis of central herniation were discussed.
Keywords:cerebroma  unconsciousness  coma
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