摘要
目的：探讨CT影像在高血压脑出血中的临床诊断价值。方法：收治高血压脑出血患者72例，所有患者均采用16层螺旋CT进行检查。结果：血肿位置在脑叶12例，壳核33例，丘脑21例，小脑6例；破入脑室13例；出血量＜50mL39例，50～100mL18例，＞100mL15例。脑中线结构移位＜1cm59例，≥1cm13例。结论：CT检查在高血压脑出血中具有较高的诊断价值，能明确出血部位及范围，并能计算出血量，为临床制定合理治疗方案及预后评估提供有力依据，是高血压脑出血首选的诊断方法。
Objective:To investigate the clinical value of CT imaging in hypertensive cerebral hemorrhage.Methods:72 patientswith hypertensive cerebral hemorrhage were selected.All patients were examined with 16 slice spiral CT.Results:Location ofhematoma in lobar of 12 patients,putamen in 33 cases,thalamus in 21 cases,6 cases in cerebellar;breaking into ventricle in 13patients;bleeding<50 mL in 39 cases,50～100 mL of 18 cases,>100 mL in 15 cases.Brain midline structure shift<1 cm in 59cases,>1 cm in 13 cases.Conclusion:CT examination in hypertensive cerebral hemorrhage has high value in the diagnosis.It notonly can clear bleeding site and range,but also can calculate the amount of bleeding,to provide a strong basis for the clinicaldevelopment of reasonable treatment and prognosis assessment.It is the first choice of diagnosis of hypertensive cerebralhemorrhage.
作者
彭一枝
张金元
Peng Yizhi;Zhang Jinyuan(Department of Radiology,the People's Hospital of Macheng City,Hubei 438300;South Lake Office of Health of Macheng City,Hubei 438300)
出处
《中国社区医师》
2016年第19期109-110,共2页
Chinese Community Doctors
关键词
CT影像
高血压脑出血
临床诊断
CT image
Hypertensive cerebral hemorrhage
Clinical diagnosis
