CT对脑出血的诊断及临床价值

目的探讨脑出血的CT影像学特征及临床价值。方法回顾性分析2014年1月-2015年1月经我院治疗的74例脑出血患者的CT影像学资料及临床资料,对病人的出血部位、出血量与临床预后的关系进行分析。结果 74例脑出血患者中,基底节区出血54例(73%),丘脑出血13例(17.6%),小脑出血4例(5.4%),脑干出血3例(4%),脑出血中有7例破入脑室,不同时期和不同部位脑出血CT影像学特征表现不同,脑干区脑出血患者死亡率最高;脑出血量与死亡率具有正相关关系,出血量大于70ml患者死亡率为80%。结论 CT能有效诊断脑出血的时期和部位,有利于患者选择恰当的临床治疗方案和预后评估,值得临床进一步推广和应用。

The Diagnosis and Clinical Value of CT in Cerebral Hemorrhage

Objective To investigate the imaging features and clinical value of CT in cerebral hemorrhage.Methods CT diagnostic data and clinical data of 74 cases of cerebral hemorrhage treated in our hospital from January 2014 ~2015 to 1 patients with cerebral hemorrhage were retrospectively analyzed,The patient's bleeding, blood loss and the relationship between clinical outcomes and analysis.Results 74 cases of cerebral hemorrhage patients, basal ganglia hemorrhage in 54 cases (73%), thalamus hemorrhage in 13 cases (17.6%), cerebellar hemorrhage in 4 cases (5.4%), brainstem hemorrhage in 3 cases (4%), cerebral hemorrhage in 7 cases of breaking into ventricle, different periods and different parts of the brain hemorrhage CT image study performance characteristic different, the brain stem brain hemorrhage mortality in patients with highest; cerebral hemorrhage and mortality has a positive correlation, bleeding amount is greater than 71ml mortality was 80%.Conclusion CT can effectively diagnose the time and location of cerebral hemorrhage, it is helpful for patients to choose appropriate clinical treatment plan and prognosis evaluation, it is worthy of clinical popularization and application.