伴脑桥出血的高血压脑干脑病两例并文献复习

Hypertensive Brain Stem Encephalopathy Complicated by Pontine Hemorrhage: A Report of Two Cases and Literature Review

目的探讨伴有脑桥出血的高血压脑干脑病(HBE)的临床特点及预后。方法回顾性分析我科收治的2例伴脑桥出血的HBE临床资料。结果 HBE临床特点为:存在控制不良的严重高血压;临床症状相对较轻,主要表现为头痛和轻度意识障碍;影像学表现严重,主要表现为以脑桥为主的弥漫性脑干受损。给予及时降压治疗,临床预后良好。结论 HBE是高血压脑病的一种特殊类型,早期的诊断和快速控制血压是保证良好预后的关键。

Objective To explore the clinical features and prognoses of hypertensive brain stem encephalopathy （HBE） complicated by pontine hemorrhage. Methods Clinical data of 2 patients with HBE complicated by pontine hemorrhage was retrospectively analyzed. Results Clinical features of HBE were severe hypertension with poorly con- trolled, relatively mild clinical symptoms with headache and mild disturbance of consciousness as the main manifestations and poor imaging results such as diffused brain stem injury especially in pons. Good prognoses were acquired after timely anti-hypertension treatment. Conclusion HBE is a special subtype of hypertensive encephalopathy, and early diagnosis and rapidly controlling of blood pressure can acquire good prognoses.