脑干出血的问题(国外英文资料).doc

脑干出血的问题 Brain stem hemorrhage is rare in clinical, about 10% of the total brain hemorrhage is [1]. The disease is acute, the disease is heavy, the worse, the disease is dangerous, the morbidity has gradually increased the trend. Because the cause of the disease is not very clear, the clinical symptom is complex, clinical is often easy to leak diagnosis, misdiagnosis, the treatment effect is not good. Neuroscience in last decade of the development of a new understanding of the brain stem, from the pathogenesis, diagnosis, treatment and prevention measures of basic and clinical research, has made obvious progress. The etiology, clinical manifestations, diagnosis and prevention of brain stem hemorrhage were reviewed. 1 1.1 primary brain stem hemorrhage causes high blood pressure is the main cause of brain stem hemorrhage, domestic sources reported 78.1% [2], a few patients increased blood lipid or a history of coronary heart disease, diabetes, cerebral infarction and so on, these factors are associated with hyperlipidemia, cerebral atherosclerosis is secondary causes of brain stem hemorrhage [3]. Others are associated with intracranial aneurysms, active-venous deformities, coagulant dysfunction, oral contraceptives, and anticoagulation of the [4]. Men are more likely to have a higher incidence of the disease than women, which may be related to the risk of smoking, drinking, heavy manual labor and health. 1.2 secondary brain stem hemorrhage Secondary the happening of the brainstem hemorrhage and brain stem weeks surround tissue of brain stem compression speed, and the location, size and nature of the surrounding tissue lesions. Secondary brain stem hemorrhage is born in the middle and brain bridge. About half of the patients were then bleeding in the deep part of the brain. After cerebral infarction secondary brain stem hemorrhage, cerebral infarction due to brain edema and brain stem compression, deformation and displacement of the tiny arteries and veins and capillari