原发性脑干出血36例内科治疗探讨.docVIP

精品论文 参考文献 原发性脑干出血36例内科治疗探讨 曾静环 　　（广东省揭西县人民医院 515400） 　　【摘要】 目的：探讨内科治疗原发性脑干出血的临床疗效，为临床治疗提供指导。方法：将2010年3月～2012年3月在本院住院的36例原发性脑干出血患者的临床资料进行系统性回顾。根据CT及MRI检查计算出血量，按其出血量的多少分为三组，出血量le;2ml者6例，出血量在3～5ml者19例，出血量＞5ml者11例，分析三组患者的治疗情况及预后。结果：出血量le;2ml组治愈率为100%；出血量在3～5ml组显效11例，好转6例，治疗总有效率为89.5%，病死率较低，预后佳；出血量＞5ml组，显效2例，好转5例，治疗总有效率为63.6%，死亡率高，预后差。结论：高血压动脉硬化是引起脑干出血的主要原因，出血量多少与出血部位可影响患者的治疗效果及预后。 　　【关键词】脑干出血 内科治疗 临床疗效 预后 　　【中图分类号】R743.34 【文献标识码】A 【文章编号】2095-1752（2013）36-0121-01 　　【Abstract】Objective: To investigate the clinical department of internal medicine curative effect in treatment of primary brain stem hemorrhage, and provide guidance for clinical treatment. Methods: The 2010 March ～2012 year in March 36 cases of primary were systematically reviewed the clinical data of patients with brainstem hemorrhage. Calculate the amount of bleeding according to CT and MRI examination, according to the amount of hemorrhage were divided into three groups, 6 cases of blood loss le; 2ml, the amount of bleeding in 19 cases of 3～5ml, the amount of bleeding, 5ml in 11 cases, analysis of the treatment and prognosis of three groups of patients. Results: The blood loss le; 2ml group, the cure rate was 100%, the amount of bleeding in 3～5ml group were 11 cases, 6 cases were improved, the total effective rate was 89.5%, the mortality rate is low, the prognosis is good, the amount of bleeding, group 5ml, 2 cases were cured, 5 cases improved, the total effective rate was 63.6%, the mortality rate is high, poor prognosis. Conclusion: Hypertensive arteriosclerosis is the main cause of brainstem hemorrhage, bleeding amount and the bleeding site can affect a patients therapeutic effect and prognosis. 　　【Key words】Brainstem hemorrhage Department of internal medicine treatment The clinical curative effect Prognosis 　　原发性脑干出血是神经内科常见的危急重症之一，临床以高热昏迷、瞳孔针尖样缩小、四肢交叉瘫痪为主要表现[1]，该病起病急、死亡率高、预后差，应引起临床足够重视。笔者收集本院2010年3月～2012年3月原发性脑干出血患者的临床资料，分析其临床治疗及预后，报道如下：