中国美容医学2011，Vol.20Issue(z1)：2-3,2.
自发性脑干出血的临床与影像诊断研究
Clinical and Imaging Diagnosis Study on Spontaneous Brain Stem Hemorrhage
郭娟 1习智凯 1黄闽高 1黎庭贵1
作者信息
- 1. 乐山市老年病专科医院,四川,乐山,614000
- 折叠
摘要
Abstract
Objective:To study the clinical and Imaging diagnosis value of spontancous brain stem hemorrhage, and to direct clinical therapy and prognosis. Methods:The clinical and CT and MRI examination data of 43 patients with spontaneous brain stem hemorrhage were analyzed retrospectively. Results: Among the 43 patients, 35 patients have hypertension (81.4 ％) All patients were performed MRI examination. 33 cases were pontine hemorrhage. 9 cases were midbrain hemorrhage, and 1 caseswere medulla oblongata hemorrhage. 23 patients with pontine hemorrhage were performed MRI examination. 5 acute hemorrhage lesions showed isointensity signal on T1WI, and slightly hyperintensity signal On T2WI 15 subacute hematomas, 5 lesions were mixed high signal, and 10 lesions showed ring-shaped hyperintensity signal on T1WI and T2WI images 3 cases were chronic hematoma, MRI showed as high signal on T1WI and T2WI with a very low signal hemosiderin ring 38 patients were performed internal medicine treatment, 5 patients by surgery treatment. If bleeding volume less than 5ml, the patient prognosis were bctter than that of bleeding volume over 5 ml, with massive hemorrhage dicd bccause of no surgery promptly. Conclusions:Hypertension was the main cause of s brain stem hemorrhage. Most brain stem hemorrhage was located on pontine. CT was the first choice for the diagnosis of pontine hemorrhage. MRI was an additional medium of CT. CT and MRI can help the clinic to choice correct treatment method for brain stem hemorrhage, and prove the prognosis.关键词
脑干出血/X线/计算机断层扫描/磁共振成像/预后分类
医药卫生引用本文复制引用
郭娟,习智凯,黄闽高,黎庭贵..自发性脑干出血的临床与影像诊断研究[J].中国美容医学,2011,20(z1):2-3,2.
