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目的探讨原发性脑干出血的临床表现、分型及预后。方法:对资料完整的30例原始资料进行回顾性总结分析。结果:高发年龄50~60岁,高危因素以高血压、饮酒、糖尿病最常见。首发症状以眩晕、头痛为主。典型脑干四联症表现很少见,多为偏瘫伴同侧中枢性面舌瘫,交叉瘫少见,四肢瘫次之。各种眼征表现复杂,以双侧瞳孔缩小最多。结论:中心型、全脑干型,出血量>5ml,累及延髓,合并脑积水的预后差。脑干出血死亡率高,轻型脑干出血预后较好,少数病人可完全治愈。
Objective To investigate the clinical manifestations, classification and prognosis of primary brain stem hemorrhage. Methods: The complete data of 30 cases were retrospectively analyzed. Results: The high incidence of 50 to 60 years of age, high-risk factors to hypertension, alcohol consumption, diabetes is the most common. The first symptom of dizziness, headache-based. Typical brainstem quadruple disease performance is rare, mostly hemiparesis with ipsilateral central lingual paralysis, rare cross-paralysis, quadriplegia followed. Symptoms of various eye complex performance, with bilateral miosis up. Conclusion: The central and brainstem type, bleeding> 5ml, involved the medulla oblongata, with poor prognosis of hydrocephalus. High death rate of brainstem hemorrhage, light prognosis of brainstem hemorrhage is better, a small number of patients can be completely cured.