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目的探讨自发性脑出血的CT不同表现与预后之间的关系。方法回顾分析390例自发性脑出血CT改变及跟踪观察其临床表现资料。所有病历均来自我院CT室常规检查患者,排除了外伤等其它问题造成的脑出血。结果本组390例中基底节区脑出血320例,蛛网膜下腔出血46例,脑干出血10例,大脑脑叶出血9例,小脑出血5例,内科保守治疗332例,完全康复及好转300例,死亡32例,外科治疗58例,好转36例,死亡22例。结论自发性脑出血的预后与出血部位、出血量、是否破入脑室系统、脑室受压程度、有无继发梗阻性脑积水有密切关系。
Objective To investigate the relationship between CT manifestations and prognosis in patients with idiopathic cerebral hemorrhage. Methods A retrospective analysis of 390 cases of spontaneous cerebral hemorrhage CT changes and follow-up observation of clinical manifestations. All medical records from our hospital routine examination of patients with CT, excluding trauma and other problems caused by cerebral hemorrhage. Results The group of 390 cases of basal ganglia cerebral hemorrhage in 320 cases, 46 cases of subarachnoid hemorrhage, 10 cases of brainstem hemorrhage, 9 cases of cerebral lobe hemorrhage, cerebellar hemorrhage in 5 cases, 332 cases of conservative treatment, complete recovery and improvement 300 cases, 32 deaths, 58 cases of surgical treatment, improvement in 36 cases, 22 deaths. Conclusions The prognosis of spontaneous intracerebral hemorrhage is closely related to the site of bleeding, the amount of bleeding, whether it breaks into the ventricular system, the degree of ventricular compression, and the presence or absence of secondary obstructive hydrocephalus.