丘脑出血50例临床分析

Clinical Analysis of Thalamus Hemorrhage in 50 Cases

目的 探讨丘脑出血 (TH)的临床特点。方法 对 5 0例TH的临床与CT、MRI进行总结。结果 5 0例TH中存活 41例 ,死亡 9例 ,有梗阻性脑积水呈进行性加重者 7例 ,其中 3例作引流术均缓解 ,另 4例保守治疗均死亡。结论 TH多见于高龄与高血压患者。眼球运动障碍对TH的诊断及预后的估计有帮助。丘脑痛对早期诊断帮助不大。如存在梗阻性脑积水且进行性加重者应及早进行手术引流 。

Objective To study the clinical features in patients with thalamus hemorrhage (TH). Methods Clinical features of brain CT and MRI detection in 50 cases of TH were analyzed. Results Of all the 50 patients, 41 cases survived and 9 cases died. Among 7 patients with progressing obstructive hydrocephalus, 3 cases survived after drainage and 4 cases died after conservation treatment. Conclusions TH mostly occurred in patients with old age or hypertension. The disorder of oculomation is quite a help to the diagnosis and prognosis estimation of TH, but a thalamus ache is not a great help to the early diagnosis. If progressing obstructive hydrocephalus take place, early drainage should be done to improve the surviving rates.