目的 分析原发性脑干出血的临床症状、体征及辅助检查,研究其病因及预后。方法 选择62例确定诊断为脑干出血的患者,分析其病因,临床表现,诊断治疗及预后。结果 本组患者中,男37例,女25例,平均年龄53.5岁,既往高血压病史者33例,起病时多以头晕、头痛、恶心呕吐、肢体运动障碍继而意识不清为主诉,体征中眼部症状复杂多样,发病时血糖、白细胞及酶学多有变化。本组死亡率为64.5％(40/62)。结论 脑干出血主要病因为高血压动脉硬化,血量 多少与预后存在最为直接的关系,及时送医及时诊治可相应提高存活率,而随外科治疗技术的进步,有望进一步提高存活率。 Objective To analyze the clinical symptoms, signs and auxiliary examinations of primary brain stem hemorrhage and study its etiology and prognosis. Methods Sixty-two patients with definite diagnosis of brainstem hemorrhage were selected and their etiology, clinical manifestations, diagnosis, treatment and prognosis were analyzed. Results In this group, there were 37 males and 25 females, with an average age of 53.5 years. There were 33 patients with previous history of hypertension. Most of them were dizziness, headache, nausea and vomiting, and limb movement disorders were unconscious. In the eye complex and diverse symptoms, the incidence of blood glucose, white blood cells and enzyme changes in many. The mortality rate was 64.5% (40/62). Conclusions The main cause of hemorrhage in the brainstem is arteriosclerosis of hypertension. The most direct relationship between blood volume and prognosis is that the timely delivery of medical treatment can improve the survival rate correspondingly. With the progress of surgical treatment, it is expected to further improve the survival rate.