脑出血72例临床分析

Clinical Analyses of 72 Cases with Intracerebral Hemorrhage

目的总结脑出血(ICH)的发病形式、早期诊断、临床表现和治疗方法。方法回顾性总结东莞市大朗医院收治的72例脑出血患者的发病形式、临床表现、实验室检查、辅助检查、治疗和预后,并结合文献进行回顾性分析。结果72例患者中脑干出血6例、基底节区出血44例、脑叶出血6例、丘脑出血14例、小脑出血2例。高血压病史58例。入院时血压>180/100mmHg有28例,140/90mmHg<血压180/100mmHg38例。10例行钻颅碎吸术治疗,其中4例恢复,6例死亡。62例进行内科综合治疗,其中18例死亡,余44例患者病情均有所好转。结论脑出血起病急,临床表现多样,高血压是其常见病因,出血部位不同预后差别较大。

Objective Summary intracerebral hemorrhage （ICH） forms of the disease, early diagnosis, clinical manifestations and treatment. Methods Retrospective study Dalang hospital admitted 72 cases of intracerebral hemorrhage in patients with the incidence of forms, clinical manifestations, laboratory examination, laboratory examinations, treatment and prognosis, combined with the literature were analyzed retrospectively. Result 72 cases of patients with brain stem hemorrhage in 6 cases, basal ganglia hemorrhage in 44 cases, 6 cases of lobar hemorrhage, thalamic hemorrhage in 14 cases, cerebellar hemorrhage in 2 cases. 58 cases of hypertension. Admission blood pressure〉180/100mmHg with 28 cases, 140/90mmHg〈blood pressure 180/100mmHg38 cases. 10 routine drilling skull aspiration in the treatment, of which 4 patients recovered and 6 deaths. 62 cases of combined treatment for internal medicine, including 18 deaths, more than 44 patients improved in both conditions. Conclusions Cerebral hemorrhage begins abruptly, with clinical manifestations of diverse, hypertension is the common cause of bleeding in different parts of the prognosis varied.