脑干出血35例临床分析

回顾分析我院经CT或MRI证实的脑干出血患者35例，经神经内科保守治疗后，痊愈12例（34．3％），好转14例（40．0％），恶化4例（11．4％），死亡5例（14．3％）。死亡者中桥脑出血3例，中脑出血1例，延髓出血1例；均有脑干功能衰竭、脑疝及其他严重并发症。出血灶直径〉2．0cm的8例中，死亡3例。直径≤2．0cm者27例中，死亡2例。提示脑干出血的预后与出血部位、出血量、并发症等相关；影像学检查在其诊断中有着重要地位。

Clinical Analysis of 35 Brain Stem Hemorrhage Cases

We retrospectively analyzed 35 brain stem hemorrhage cases verified through computer tomography or magnetic resonance in our hospital. After conservative treatments, 12（34.3%） of 35 cases fully recovered, 14（40.0% ） cases improved, 4（11.4%） cases deteriorated and 5（14.3%） died. Among these 5 dead cases, 3 cases were pontine hemorrhage, 1 case was midbrain hemorrhage and 1 case was medulla oblongata hemorrhage. These 5 dead cases all developed brain stem failure, cerebral hernia and other severe complications including multiple organ failure, pulmonary infection, renal inadequacy and stress ulcer et al. Among those 8 cases whose hemorrhagic focus diameter greater than 2. 0 centimeters 3 cases died. Among those 27 cases whose hemorrhagic focus diameter smaller than 2. 0 centimeters 2 cases died. This demenstrated that prognosis of brain stem hemorrhage correlated with hemorrhage location, hemorrhage quantity, complications et al. Imaging examination plays important place in brain stem hemorrhage.