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目的:探讨脑肿瘤出血的临床特点及手术治疗方法。方法:回顾性分析2007年6月～2011年6月兴宁市人民医院急诊收治的脑肿瘤出血患者23例的临床资料。结果:脑肿瘤出血的症状主要有突发剧烈的头痛、呕吐、偏瘫或者偏瘫加重、失语和意识障碍;8例患者头颅CT平扫见颅内低密度肿瘤征象与均匀高密度出血影并存,15例经头颅增强CT扫描确诊。21例患者通过手术治疗、切除肿瘤、清除血块,16例患者临床治愈出院,有4例患者好转出院,有1例患者术后病情恶化死亡。结论:脑肿瘤出血多以急性起病为表现,易误诊为脑出血,头颅增强CT扫描有助于明确诊断,确诊后应进行手术治疗,尽早切除肿瘤,清除血块。
Objective: To investigate the clinical features and surgical treatment of brain tumor hemorrhage. Methods: The clinical data of 23 patients with brain tumor hemorrhage admitted from the emergency department of Xingning People’s Hospital from June 2007 to June 2011 were retrospectively analyzed. Results: The main symptoms of brain tumor hemorrhage were sudden severe headache, vomiting, hemiparesis or hemiplegia aggravating, aphasia and disturbance of consciousness; cranial CT scan in 8 patients showed signs of intracranial low-density tumors coexisting with high-density bleeding, 15 Cases confirmed by skull enhanced CT scan. Twenty-one patients were surgically treated for tumor resection and removal of blood clots. Sixteen patients were clinically cured and discharged, and four patients were discharged. One patient died of postoperative deterioration. Conclusion: Most of the brain tumor hemorrhage is characterized by acute onset, easily misdiagnosed as cerebral hemorrhage, enhanced CT scan of the skull helps to confirm the diagnosis, and should be surgically treated after the diagnosis. The tumor should be removed as soon as possible to remove the blood clot.