21例自发性桥脑出血的临床、CT及MRI

Analysis of Clinical CT and MRI manifestation of 21 Cases with Spontaneous Brain Bridge Hemorrhage

目的：分析桥脑出血的临床、 CT、 MRI表现，探讨其与预后的关系。方法：收集近 7a我院经 CT(或 )MRI证实的桥脑出血 21例，结合其临床、 CT、 MRI特点及预后进行分析。结果： 21例中高血压脑出血 17例 (81％ )；桥脑出血临床表现取决于桥脑出血的不同部位， CT、 MRI可准确定位。结论：高血压为本病的主要病因， MRI是诊断本病的最佳检查手段。桥脑出血的预后与有无意识障碍、出血部位、出血量密切相关。

Objective: To analyze the clinical,CT,and MRI menifestation of the 21 cases of spontaneous brain bridge hemorrhage,and to explore the relationship between the hemorrhage and the prognosis.Methods:Synthesizing the features of clinical,CT,MRI and the prognosis to analyze 21 cases of spontaneous brain bridge hemorrhage which were diagnosed by CT of MRI and were admitted to hospital in recent 7 years.Results: Of the 21 cases,17 cases were hyprtensional cerebral hemorrhage.The clinical manifestations of the brain bridge hemorrhage were different according to the sites of hemorrhage.Conclusion: Hypertension was the main cause of brain bridge hemorrhage and the best way for examination the disease was MRI. Still,the prognosis of the disease had close relation to the manifestation of conscious obstacle,the position,and the quantity of hemorrhage.