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目的 :探讨脑干出血病人的出血部位、出血量与预后的关系。方法 :回顾性地分析 40例脑干出血患者临床表现、出血部位、出血灶直径、脑干实质内血肿量与预后的关系并作统计学处理。结果 :桥脑被盖部、桥脑基底部、中脑三部位出血者死亡率无明显差别 (P >0 0 5 ) ,桥脑基底—被盖部出血者死亡率明显高于上述三部位出血者 (P <0 0 5 ) ;出血灶直径 >2cm或脑干实质内血肿量 >4ml者 ,其死亡率明显高于出血灶直径≤ 2cm或血肿量≤ 4ml者 (P <0 0 5 )。结论 :脑干出血患者 ,其出血部位如位于桥脑基底—被盖部 ,或其出血灶直径 >2cm ,或脑干实质内血肿量 >4ml,则预后不良。
Objective: To investigate the relationship between the bleeding site, the amount of bleeding and the prognosis in patients with brain stem hemorrhage. Methods: A retrospective analysis of 40 cases of brainstem hemorrhage in patients with clinical manifestations, bleeding sites, hemorrhage diameter, the amount of intracerebral hematoma and prognosis of the relationship between prognosis and for statistical analysis. Results: There was no significant difference in the mortality rate between the pons in the pons, the pons in the pons and the midbrain (P> 0.05), and the mortality in the pontine-caput hemorrhage was significantly higher than that in the above three sites (P <0.05). The mortality of hemorrhage> 2cm or intracerebral hematoma> 4ml was significantly higher than that of hemorrhage ≤2cm or hematoma≤4ml (P <0.05). CONCLUSIONS: Patients with bleeding from the brainstem have a poor prognosis if the site of bleeding is located at the base of the pons - the lid, or the diameter of the hemorrhage> 2 cm, or the amount of hematoma in the brain stem> 4 ml.