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目的探讨丘脑出血的临床特点、诊断和治疗。方法回顾性分析我院1998年1月-2008年1月所诊治的86例丘脑出血的临床资料。结果本组86例中,手术治疗39例,非手术治疗47例,死亡43例,放弃治疗8例,存活35例,存活病员ADL分级:Ⅰ级18例,Ⅱ级2例,Ⅲ级10例,Ⅳ级3例,Ⅴ级2例。结论丘脑出血病情危重,变化快,其预后与出血部位及出血量有关,应采取个体化治疗措施,选择适当的治疗方法,后期加强护理,注重防治并发症,能提高治愈率、改善预后。
Objective To investigate the clinical features, diagnosis and treatment of thalamic hemorrhage. Methods The clinical data of 86 patients with thalamic hemorrhage diagnosed and treated in our hospital from January 1998 to January 2008 were retrospectively analyzed. Results Among the 86 cases, 39 cases were treated surgically, 47 cases were non-surgical treatment, 43 cases died, 8 cases were given up for treatment and 35 cases survived. The ADL grade of survivors was 18 cases of grade Ⅰ, 2 cases of grade Ⅱ and 10 cases of grade Ⅲ , Grade Ⅳ in 3 cases, grade Ⅴ in 2 cases. Conclusions Thalamic hemorrhage is dangerous and rapidly changing. The prognosis is related to the bleeding site and the amount of bleeding. Individualized treatment measures should be taken to select appropriate treatment methods. Nursing should be strengthened in the later stage, with emphasis on prevention and treatment of complications. The cure rate and prognosis should be improved.