原发性桥脑出血30例临床表现、CT及死亡原因分析

The clinical analyse for 30 patients in primary pontine hemorrhage

目的探讨30例原发性桥脑出血患者临床、CT表现,死亡原因。方法对资料完整的30例原始资料进行回顾性总结分析。结果20例患者出血与高血压有关。首发症状以眩晕、头痛为主。桥脑出血27例,伴中脑出血3例。出血病死率为56.7%(17/30)。GCS评分与出血量大小与临床结果密切相关(P<0.05)。结论GCS评分低及出血量>5m l的患者病死率高。死亡与年龄、合并高血压无明显关系,与合并呼吸衰竭,上消化道出血密切相关。

Objective We report a retrospective series of 30 cases of pontine hemorrhage. Methods Carries on the review summary analysis to the material integrity 30 examples firsthand information. Results Twenty hematomas were related to hypertension. First round symptom by dizziness ,headache primarily. The hemorrhage was located in the pens in 27 cases and in the midbrain in three cases. The death rate directly related to the hemorrhage was 56. 7% （17/30）. Prongnosis factors were the size of the hemorrhage and GCS score （ P〈0. 05）. Conclusion The patient of low GCS score and more than 5ml of bleeding has high mortality. Death has on sighificant relationship with age and hypertension ,has closely related to respiratory failure and upper gastrointestinal bleeding.