临床与CT表现在出血性脑瘤卒中早期诊断中的价值

Value of clinical and CT features in the early diagnosis of hemorrhagic brain tumor

目的探讨临床表现及CT表现在出血性脑瘤卒中早期诊断中的临床意义。方法择取我院收治的确诊为出血性脑瘤卒中的患者32例,患者在疾病急性发作期入院完成第一次CT检查,检查时间为发病后的2~24 h。患者均经头颅CT检查显示病灶,在其病情稍稳定后再进行增强CT检查。记录本组患者的临床表现及CT扫描成像表现。结果患者的临床表现多为意识不清、瞳孔改变、肢体偏瘫及脑膜刺激征等人体神经系统受到损害时所产生的临床症状。CT检查结果显示:18例患者呈现边缘清晰的高密度血肿;21例患者可见实体肿瘤,剩余11例肿瘤病灶不明显;19例患者瘤灶周边组织有指压样水肿带。结论出血性脑肿瘤卒中易与脑血管出血卒中相混淆,因此在临床诊断中需对患者的病史进行详细了解,患者病灶区域内出现水肿情况时需及时进行CT扫描检查,以提升早期诊断准确率。

Objective To explore the value of clinical and CT features in the early diagnosis of hemorrhagic brain tumor. Methods Thirty-two cases of patients diagnosed as hemorrhagic brain tumor in our hospital were selected, and the first CT scan during the acute exacerbation of the disease for the first time were completed, the inspection time was 2-24 h after the onset. All the patients were examined by head CT examination to observe lesions, then the enhanced CT examinations were taken in the stable condition. The clinical manifestations and CT scan imaging performance of the patients were recorded. Results The clinical manifestations of patients were mostly unconsciousness, pupil changes, paralytic limbs and meningeal irritation and other clinical symptoms caused by the damage of human nervous system. CT examination results showed： 18 patients of clear high-density hematoma at the edge; 21 cases can be seen solid tumors, and the remaining ll cases of tumor lesions were not obvious; 19 cases of tissue of finger pressure edema around the tumor. Conclusion Hemorrhagic brain tumor is easy to be confused with cerebral hemorrhage apoplexy, therefore the patients＂ history is needed detailed understanding in clinical diagnosis. When patient＇s lesion area appearing the edema situation, CT scan should be timely proceeded to improve the early diagnostic accuracy.