自发性脑干出血治疗探讨

目的探讨自发性脑干出血患者的治疗方法。方法回顾性分析36例入院时病情危重且接受手术治疗的脑干出血患者临床资料、治疗效果以及随访信息。根据血肿位置、深度不同,分别选择枕下后正中入路、颞下入路或枕下乙状窦后入路等清除血肿。结果发病一个月死亡10例,病死率为27.8%;术后格拉斯哥预后评分（GOS）平均为3.5分。结论手术清除血肿可以作为自发性脑干出血患者治疗的一种选择。

Discussion on treatment of spontaneous brainstem hemorrhage

Objective To discuss the treatment of the patients with spontaneous brainstem hemorrhage. Methods The clinical data and therapeutic effects of 36 patients with severe spontaneous brainstem hemorrhage underwent operation were analyzed retrospectively,and different operative approaches（ posterior fossa midline approach,subtemporal approach,suboccipito-retrosigmoidal approach） were selected based upon the location and depth of hematoma. Results 36 patients underwent the surgical obliteration of hematoma,10（ 27. 8%） of 36 died within one month after the onset of hemorrhage. The mean Glasgow Outcome Scale score（ GOS） of the survivors was 3. 5.Conclusion Surgical removal of hematoma can effectively reduce the mortality of spontaneous brainstem hemorrhage.