高原地区自发性脑干出血的救治及影响其预后因素分析

Treatment of spontaneous Brain stem hemorrhage and analysis of factors affecting its prognosis in highland

目的探讨高原地区自发性脑干出血的救治分析影响其预后的因素。方法回顾性分析64例高原地区自发性脑干出血患者的临床资料,并结合文献对影响其预后的因素进行分析。结果痊愈10例,好转16例,植物生存6例,自动出院6例,死亡26例。结论高原自发性脑干出血病死率高,出血量、出血部位是影响预后的关键因素,发病后患者意识障碍程度是判断预后的一个重要指标。

Objective To investigate the treatment of spontaneous brain stem hemorrhage and analysis the prognosis in highland. Methods The clinical data of 64 patients with spontaneous brain stem hemorrhage were analysed retrospectively. The factors affecting its prognosis were discussed in combination with the relative literatures in the patients with spontaneous brain stem hemorrhage. Result 64 cases patient with spontaneous brain stem hemorrhage,10 cases were healed, 16 cases improved,6 cases survive in the vege- tative status, 6 cases quitted treatment because of inability to afford the treatment and 26 case died. Conclusion the major factors which affect the prognosis include the volume of hemorrhage and conscious disturbance levels in the patients with spontaneous brain stem hemorrhage.