30例原发性桥脑出血临床分析

30 Cases of Primary Pontine Hemorrhage Analysis

目的:探讨原发性桥脑出血的临床表现及预后。方法:对30例经CT及MRI证实的桥脑出血患者的临床资料和影像学改变进行分析。结果:桥脑被盖部出血量相对小,预后较好;基底被盖部出血量大,波及范围广,预后极差;基底部出血介于二者之间。超出桥脑范围的出血死亡率亦高。结论:高血压是桥脑出血的主要原因,血肿大小、部位及波及范围是影响桥脑出血预后的最主要因素。

Objective：To investigate the primary clinical manifestations of pontine hemorrhage and prognosis.Methods：Use the 15 cases which were confirmed by CT and MRI in patients with pontine hemorrhage clinical data and image changes for analysis.Results：Pontine tegmentum hemorrhage is relatively small,and the prognosis is good;but the basal tegmentum large amount of bleeding,affect a wide range,the prognosis is very poor;Basal pons bleeding is between the Pontine tegmentum and Basal tegmentum.The death of the scope of beyond Pontine hemorrhage is also high.Conclusion：Hypertension is the main reason for Pontine Hemorrhage,hematoma size,location and contagion affecting the bridge the most important prognostic factor in intracerebral hemorrhage.