摘要
目的探讨原发性脑干出血临床分型与预后的变化趋势。方法将37例患者按病情划分为三型：Ⅰ型神志清醒类13例、Ⅱ型昏迷类11例、Ⅲ型昏迷伴呼吸衰竭类13例，根据分型，采取不同的治疗方法，Ⅰ型、Ⅲ型采取保守治疗；Ⅱ型根据出血部位、量及脑室循环受阻情况，采取保守、血肿清除或锥颅脑室外引流等不同治疗方法。结果Ⅰ型13例均存活；Ⅱ型11例存活10例，死亡1例；Ⅲ型13例存活1例，死亡12例。结论脑干出血分型有利于治疗方法的选择和对预后的评估。重症监护、积极的外科治疗可降低死亡率。
Objective To analyze the relation between classes and prognosis of the brainstem hemorrhage. Methods 37 patients with spontaneous brainstem hemorrhage were divided into three groups according to consciousness and breathing function： Ⅰ group 13 cases with consciousness; Ⅱ group 11 cases without consciousness; Ⅲ group 13 cases without consciousness and respiration, according to the classes, using different ways and means. Resuits Ⅰ group 13 cases survival in 13 cases; Ⅱ group 10 cases survival and 1 case death in 11 cases; Ⅲ group 1 case survival and 12 cases death in 13 cases. Conclusion The classes of the brainstem hemorrhage is propitious to select therapeutic measure and prognostic estimate. The intensive care and the surgery can reduce mortality rate.
出处
《中国基层医药》
CAS
2008年第6期940-941,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
脑干出血
分类
预后
Brainstem hemorrhage
Classification
Treatment and prognosis
