高血压脑出血的CT评价(附77例报告)

CT evaluation of hypertensive intracerebral hemorrhage:a report of 77 cases

目的探讨高血压脑出血的CT表现。方法采用螺旋CT扫描,分析了77例高血压脑出血患者的发病年龄、出血部位和出血量。结果 77例患者的发病年龄段以50～69岁最多,共42例,占54.55%;70～86岁年龄段次之,共28例,占36.36%。以外囊出血最多,有21例(占27.27%),其他部位出血病例数依次递减:丘脑12例,混合出血11例,内囊出血10例,小脑出血6例,脑干和三角区出血各5例,其他部位3例。出血量在0～19 mL44例(占57.14%),20～29 mL7例,30～49 mL13例,50～99 mL6例,100 mL或以上仅有3例(占3.90%),有4例脑室出血量无法计算。结论 CT检查可为临床及时诊断和治疗高血压脑出血提供科学依据。

Objective To study the CT characteristics of hypertensive intracerebral hemorrhage（ICH）.Methods Seventy-seven patients with clinically known hypertensive ICH underwent spiral CT scans of the head.Subsequently,the onset age,hemorrhagic location and volume were observed for each case and measured by using CT.Results The onset ages of hypertension in the group patients ranged from 33 to 86 year-old,of whom,42（54.5 %） cases were 50-59 years,secondarily,28（36.4%） cases were 70-86 years.The numbers of hemorrhagic locations based on the order from large to small were the following： external capsule（n=21）,thalamus（n=12）,mixed hemorrhage（n=11）,internal capsule（n=10）,cerebellum（n=6）,brain stem（n=5）,triangular area（n=5）,and other locations（n=3）.The hemorrhagic volumes based on the order from minimum to maximum,77 patients included 44 cases of 0-19 mL,7 cases of 20-29 mL,13 cases of 30-49 mL,6 cases of 50-99 mL,3 cases of equal to or more than 100 mL,and 4 cases of intraventricular hemorrhage could not be measured by CT.Conclusion CT examination could to provide the scientific evidence for the definite diagnosis of hypertensive ICH as soon as possible and to guide the clinical treatment.