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目的：分析脑干梗塞的临床资料，探讨其中发病机制，诊断和防治方法，以及预后。方法：根据20例脑干梗塞临床资料，参阅有关文献，分析脑干梗塞发病机制，探讨其诊断方法，预后以及如何进行防治。结果：在20例脑干梗塞中，既往有高血压、动脉硬化史者11例，脑血栓5例，短暂性脑缺血2例，糖尿病2例，脑出血1例和心肌梗塞1例。结论：高血压，动脉硬化是脑干梗塞的最常见原因；病变发生的部位及进行脑CT检查的时间可能影响CT影像的真实性；脑干梗塞治愈率低，死亡率及病残率高。为此应积极治疗原发病，避免诱发因素，及时抢救，精心护理。
OBJECTIVE: To analyze the clinical data of brain stem infarction, discuss the pathogenesis, diagnosis and prevention methods, and prognosis. Methods: According to the clinical data of 20 cases of brain stem infarction, refer to the relevant literature, analyze the pathogenesis of brain stem infarction, explore its diagnosis, prognosis and how to control. Results: There were 11 cases of history of hypertension, arteriosclerosis, 5 cases of cerebral thrombosis, 2 cases of transient cerebral ischemia, 2 cases of diabetes mellitus, 1 case of cerebral hemorrhage and 1 case of myocardial infarction. Conclusion: Hypertension and arteriosclerosis are the most common causes of cerebral infarction. The location of lesions and the time of brain CT examination may affect the authenticity of CT images. The cure rate of brain stem infarction is low, and the mortality and morbidity are high. To this end should actively treat the primary disease, avoid predisposing factors, timely rescue, meticulous care.