高血压性脑出血的CT表现与临床预后

CT Findings and Clinic Prognosis of Hypertensive Cerebral Hemorrhage

目的:讨论高血压性脑出血的CT表现与临床预后关系。材料和方法:通过CT检查高血压性脑出血患者100例,观察出血部位、出血量、出血是否破入脑室、中线结构移位与临床预后情况。结果:凡出血部位深,脑出血>50ml,中线结构移位>10mm,血肿穿破脑室者,预后差,死亡率高。结论:CT的影像学表现对高血压性脑出血临床治疗及预后判断具有重要指导意义。

Purpose: To determinate the relationship between CT findings and clinic prognosis of hypertensive cerebral hemorrhage. Materials and Methods: A hundred patients with hypertensive cerebral hemorrhage underwent conventional CT examinations. The hemorrhagic locations, the hemorrhagic volume, whether hemorrhage to be breaked into cerebroventricles , and whether middle line structure to be shift were observed by CT. The clinic prognosis of the patients was estimated. Results: In the case of CT findings seen in all patients, the locations of hemorrhage were deep , the volume of cerebral hemorrhage was more than 50ml , the shift of middle line structure was more than 10mm, and the hematoma breaked into cerebral ventricles so that led up to bad clinic prognosis and higher mortality. Conclusion: CT findings found in patients with hypertensive cerebral hemorrhage have important guiding roles in the clinic therapy and prognostic assessment .