老年急性脑出血CT特征表现在临床预后评估中的价值

Clinical Prognostic Value of CT in Elderly Patients with Acute Cerebral Hemorrhage

目的探索老年急性脑出血的CT影像特征性表现与临床预后评估内在的联系。方法对我院2012-03～2012-08间诊治的48例老年急性脑出血的CT影像及临床资料进行回顾性分析。结果基底节区出血24例,丘脑出血4例,脑叶出血14例,脑干出血6例。出血量<30 mL 12例,≥30 mL 36例。发生中线结构移位31例。共死亡18例,其余病例均留有不同程度的后遗症。结论老年急性脑出血多以高血压和动脉硬化为基本病因,情绪激动或过度劳累为诱因;基底节区出血多见,其出血量与预后呈正相关;发生在脑干部位出血风险更大,死亡率更高。CT影像检查能直观地显示其出血部位、出血量,为患者的治疗指导与预后评估有积极的意义。

Objective To explore the clinical prognosis and CT imaging features of elderly patients with acute cerebral hemorrhage in the assessment of inherent connection.Methods A retrospective analysis was made on the clinical data of the hospital cases of elderly patients with acute cerebral hemorrhage CT image from March to August 2012.Results Of the 24 patients with basal ganglia hemorrhage;4 cases had thalamus Hemorrhage;14 cases had lobar hemorrhage;6 cases had brain stem hemorrhage with the amount of bleeding < 30 mL 12 cases,≥30 mL 46 cases.31 cases occurred the midline shift.18 patients died,and the rest cases were left with varying degrees of disability.Conclusion Acute cerebral hemorrhage with hypertension and arteriosclerosis among elderly patients is the basic cause.High emotion and overwork are the inductive causes.Basal ganglia hemorrhage is common and the amount of bleeding is associated with prognosis in brain stem.With greater risk for bleeding,mortality is higher.CT imaging can clearly display the site of bleeding and bleeding volume.It has positive significance for the evaluation of treatment and prognosis in patients.