摘要
目的探讨脑干出血的临床表现、治疗和预后分析。方法回顾性分析从2011年4月至2013年4月南通大学第二附属医院神经外科经CT证实的19例脑干出血患者的临床资料,采用治疗前后的GCS评分及美国国立卫生研究院卒中量表(NIHSS)进行评分。结果 CT能够及时准确的发现急性脑干出血,并明确出血位置。经保守治疗后,19例中痊愈8例(42.1%),好转6例(31.6%),植物生存3例(15.8%),死亡2例(10.5%)。死亡病例存在脑干衰竭及肺部感染等严重并发症。入院时GCS评分为7.2±3.6,NIHSS评分为31.2±12.1;出院时GCS评分9.5±3.8,NIHSS评分10.3±7.5,GOS评分为3.6±1.2。结论影像学检查在脑干出血诊断中有重要作用,积极的保守治疗、预防并发症的发生可以改善脑干出血的预后。
Objective To investigate the clinical manifestations, treatment and prognosis of brainstem hemorrhage. Methods A retrospective analysis of clinical data was made in 19 brain stern hemorrhage cases confirmed by CT from April 2011 to April 2013 in our hospital and compared the GCS score and the United States national institutes of health stroke scale （NIHSS） score before and after treatment. Results Brain stem hemorrhage can be acute timely found and accurate position in CT scan. According conservative treatment, 19 cases recovered in 8 cases （42.1%）, improved in 6 cases （31.6%）, plant survival in 3 cases （15.8%） and 2 deaths （10.5%）. Brainstem failure, lung infection and other serious complications exist in death cases. On admission, GCS score was 7.2±3.6, NIHSS score was 31.2±12.1; discharge, GCS score was 9.5±3.8, NIHSS score was 10.3±7.5, GOS score was 3.6±1.2. Conclusion Imaging has an important role in the diagnosis of brain stem hemorrhage, postive conservative treatment, prevention of complications can improve the prognosis of brain stem hemorrhage.
出处
《中华神经创伤外科电子杂志》
2017年第3期169-171,共3页
Chinese Journal Of Neurotraumatic Surgery：Electronic Edition
基金
南通市卫生局青年基金项目(WQ2014016)
南通市科技局基金项目(MS12015016)
江苏省中医药科技项目(YB2015113)
