脑干出血29例临床分析

目的：分析脑干出血的临床症状与体征，讨论其与预后的关系。方法：选择经头颅CT或MRI确诊的29例病例，对其病因、分型、临床表现、诊断、治疗与预后进行分析。结果：病死率48．27％，预后与出血部位及出血量、发病后的意识状态、眼征、发热、有无并发症、白细胞总数、血糖水平有密切关系。结论：高血压动脉硬化为本病的主要病因，出血部位及出血量是影响病人预后的最重要因素。而CT、MRI的表现及发病后意识状态、眼征、体温、白细胞数及血糖水平均有判断预后的重要价值。

Clinical Analysis in 29 Patients with Brainstem Hemorrhage

Objective: To study the clinical symptoms and signs of brainstem hemorrhage and the correlation with prognosis. Methods: Twenty-nine cases with brainstem hemorrhage were diagnosed by CT or MRI. The pathogenesis,classification,clinical manifestation,diagnosis,treatment and prognosis were analyzed. Results: The mortality was 48 27%.The location and volume of the hematoma,conscious state, eye sign, fever, complications, total white cell count and fasting glucose had significant correlation with the prognosis. Conclusion: Hypertension is the major cause of brainstem hemorrhage. The expression of CT and MRI,conscious state of the onset,eye sign,temperature,pathoglycemia have a significant influence on patients' prognosis.