急性多灶性脑出血45例临床诊治分析

目的 观察探讨急性多灶性脑出血的临床诊断及治疗方法,总结其临床疗效.方法 选取我院2008年3月-2011年3月急性多灶性脑出血患者45例,均经CT检查进行诊断,并根据具体病情给予对症治疗,观察记录其诊断结果及治疗效果.结果 经诊断后,给予内科保守治疗41例,其中死亡1例,给予侧脑室穿刺引流术度血肿清除术治疗4例,其中死亡3例,两种治疗方式疗效对比差异显著(P＜0.05).结论 急性多灶性脑出血的病因一般为高血压,其病死率高,要求及时诊断,一般以保守治疗为主,若出血量大于50 ml,尽管手术治疗,预后较差.

Analysis on clinical diagnosis and treatment for 45 cases of acute multifocal cerebral hemorrhage

Objective To observe and study the clinical diagnosis and treatment method for acute muhifocal cerebral hemorrhage （AMCH） and summarize its clinical efficacy.Methods 45 cases of AMCH in our hospital from March 2008 to March 2011 were diagnosed by CT examination, and given symptomatic treatment based on specific conditions, observed and recorded their diagnosis and treatment. Results After diagnosis, patients were given conservative treatment in 41 cases, of which 1 died, among those given lateral puncture degree of hematoma drainage treatment in 4 cases, 3 deaths. There was significant difference in curative effects of these two methods （P〈 0.05）.Conclusion The hemorrhage of AMCH is usually caused by high blood pressure, it has high mortality, requiring prompt diagnosis, usually based on conservative therapy, if the bleeding is greater than 50 ml, the prognosis is poor despite surgery.