论文部分内容阅读
21例桥脑出血占同期住院457例脑出血的4.6％,病死率66.7％,桥脑出血的临床特征是:(1)早期出现严重的意识障碍。 (2)突发的四肢瘫或交叉性瘫痪。(3)针尖样瞳孔及各型眼位异常。(4)早期出现中枢性高热和不同类型的呼吸异常。(5)血性脑脊液发生率高。桥脑出血生命预后不良的CT指标是:(1)血肿量5毫升以上。(2)血肿波及双侧桥脑被盖及基底部。(3)血肿最大径3厘米以上。(4)急性梗阻脑积水。
21 cases of pontine hemorrhage accounted for 457 cases of hospitalized in the same period of cerebral hemorrhage 4.6%, the mortality rate of 66.7%, the clinical features of pontine hemorrhage are: (1) early serious disturbance of consciousness. (2) sudden quadriplegia or cross paralysis. (3) needle-like pupils and various types of eye position abnormalities. (4) Early onset of central fever and different types of respiratory disorders. (5) High incidence of bloody cerebrospinal fluid. The prognosis of pontine hemorrhage poor prognosis of CT indicators are: (1) hematoma volume of 5 ml or more. (2) hematoma spread to both sides of the pons and basal ganglia. (3) hematoma maximum diameter of more than 3 cm. (4) acute obstructive hydrocephalus.