CAJ | 학술논문

目的：总结分析丘脑出血的临床表现、CT改变及其与预后的关系。方法回顾性分析76例丘脑出血的临床资料及 CT检查结果。本组以60岁以上51例（67.1%）、既往高血压病66例（86.8%）为主。临床表现以偏瘫61例（80.3%）、偏身感觉障碍57例（75%）、睡眠障碍41例（53.9%）、语言功能障碍者38例（50%）、意识障碍35例（46.1%）、发热32例（42.1%）、眼球运动障碍22例（29%）为多见，常有血糖升高30例（39.5%）、肺部感染29例（38.2%）、上消化道出血17例（22.4%）、心电图明显改变12例（15.8%）。出血量31～50ml者14例，中线结构移位5～10mm，破入脑室14例，死亡8例（57.1%）；出血量＞50ml者7例，中线结构移位10mm，破入脑室例7（100%），死亡7例（100%）。结果76例中，治愈23例（30.3%），好转34例（44.7%）；死亡19例（25%）。结论丘脑为脑出血的常见部位，表现复杂多样，并发症多，死亡率高。
목적：총결분석구뇌출혈적림상표현、CT개변급기여예후적관계。방법회고성분석76례구뇌출혈적림상자료급 CT검사결과。본조이60세이상51례（67.1%）、기왕고혈압병66례（86.8%）위주。림상표현이편탄61례（80.3%）、편신감각장애57례（75%）、수면장애41례（53.9%）、어언공능장애자38례（50%）、의식장애35례（46.1%）、발열32례（42.1%）、안구운동장애22례（29%）위다견，상유혈당승고30례（39.5%）、폐부감염29례（38.2%）、상소화도출혈17례（22.4%）、심전도명현개변12례（15.8%）。출혈량31～50ml자14례，중선결구이위5～10mm，파입뇌실14례，사망8례（57.1%）；출혈량＞50ml자7례，중선결구이위10mm，파입뇌실례7（100%），사망7례（100%）。결과76례중，치유23례（30.3%），호전34례（44.7%）；사망19례（25%）。결론구뇌위뇌출혈적상견부위，표현복잡다양，병발증다，사망솔고。
Objective To summarize clinical manifestation,CT changes of thalamic hemorrhage and its relationship with prognosis. Methods Retrospective analysis the clinical data of 76 cases of thalamic hemorrhage and CT examination results. With over 60 years of age 51 cases (67.1%),always hypertension 66 cases (86.8%). Clinical manifestations of 61 cases with hemiplegia (80.3%),and partial body feels obstacle of 57 cases (75%),sleep disorder,41 cases (53.9%),language impairment,38 cases (50%),disturbance of consciousness,35 cases (46.1%),fever,32 cases (42.1%),eye movement disorder,22 cases (29%),multiple,often have elevated blood sugar 30 cases (39.5%),pulmonary infection,29 cases (38.2%),upper gastrointestinal bleeding in 17 cases (22.4%),electrocardiogram (ecg) obvious change in 12 cases (15.8%).The bleeding 14 cases of 31~50 ml,midline structure shift 5~10 mm,14 cases had broken into the ventricle,8 cases died (57.1%);The bleeding>50 ml in 7 cases,midline structure shift 10 mm,breaking into the ventricles7cases (100%),7cases died (100%). Results 76 patients were cured,23 cases (30.3%),34 cases (44.7%).Death 19 cases (25%). Conclusion The thalamus as the common parts of the cerebral hemorrhage,complex and varied performance,much complications,high mortality rate.