颅脑CT运用于脑出血诊断中的临床价值评价

Evaluation on the Clinical Value of Cranial CT in the Diagnosis of Cerebral Hemorrhage

目的评价颅脑CT运用于脑出血诊断中的临床价值。方法选择2015年3月—2017年6月我科室收治的100例脑出患者为研究对象,所有患者均进行过颅脑CT检查,回顾性分析研究对象颅脑CT影像结果,对比不同出血部位死亡率、不同出血量死亡率、不同时期CT表现。结果不同出血部位死亡率对比差异无统计学意义,P>0.05;出血量≥30 ml与出血量≤10 ml及出血量10~30 ml死亡率对比差异具有统计学意义,P<0.05,出血量≤10 ml与出血量10~30 ml死亡率对比差异无统计意义,P>0.05;患者入院一周与入院两周后颅脑CT检查结果存在一定差异。结论颅脑CT运用于脑出血诊断过程,不仅可以对出血情况作出准确诊断,还可为临床制定治疗方案提供依据。

Objective To evaluate the clinical value of cranial CT in the diagnosis of cerebral hemorrhage. Methods 100 cases of cerebral hemorrhage were treated in our department from March 2015 to June 2017. All patients were examined with cranial CT. The results of CT images of the subjects were analyzed retrospectively. The mortality of diferent bleeding sites, the mortality of diferent bleeding volume and the CT performance in diferent periods were compared. Results There was no signifcant diference in the mortality rate of diferent bleeding sites, P 〉 0.05. The mortality rates of blood loss in ≥ 30 ml, ≤10 m l and 10～30 ml were statistically signifcant, P 〈 0.05. There was no statistically signifcant diference in the mortality between≤10 ml and 10~30 ml in bleeding volume, P 〉 0.05; There was a certain diference in the results of brain CT examination between patients after admission and two weeks after admission. Conclusion The application of cranial CT in the diagnosis of cerebral hemorrhage can not only make accurate diagnosis of hemorrhage, but also provide basis for clinical treatment plan.