医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
36期
121-121
,共1页
脑干出血%内科治疗%临床疗效%预后
腦榦齣血%內科治療%臨床療效%預後
뇌간출혈%내과치료%림상료효%예후
Brainstem hemorrhage%Department of internal medicine treatment%The clinical curative effect Prognosis
目的：探讨内科治疗原发性脑干出血的临床疗效，为临床治疗提供指导。方法：将2010年3月～2012年3月在本院住院的36例原发性脑干出血患者的临床资料进行系统性回顾。根据CT及MRI检查计算出血量，按其出血量的多少分为三组，出血量≤2ml者6例，出血量在3～5ml者19例，出血量＞5ml者11例，分析三组患者的治疗情况及预后。结果：出血量≤2ml组治愈率为100%；出血量在3～5ml组显效11例，好转6例，治疗总有效率为89.5%，病死率较低，预后佳；出血量＞5ml组，显效2例，好转5例，治疗总有效率为63.6%，死亡率高，预后差。结论：高血压动脉硬化是引起脑干出血的主要原因，出血量多少与出血部位可影响患者的治疗效果及预后。
目的：探討內科治療原髮性腦榦齣血的臨床療效，為臨床治療提供指導。方法：將2010年3月～2012年3月在本院住院的36例原髮性腦榦齣血患者的臨床資料進行繫統性迴顧。根據CT及MRI檢查計算齣血量，按其齣血量的多少分為三組，齣血量≤2ml者6例，齣血量在3～5ml者19例，齣血量＞5ml者11例，分析三組患者的治療情況及預後。結果：齣血量≤2ml組治愈率為100%；齣血量在3～5ml組顯效11例，好轉6例，治療總有效率為89.5%，病死率較低，預後佳；齣血量＞5ml組，顯效2例，好轉5例，治療總有效率為63.6%，死亡率高，預後差。結論：高血壓動脈硬化是引起腦榦齣血的主要原因，齣血量多少與齣血部位可影響患者的治療效果及預後。
목적：탐토내과치료원발성뇌간출혈적림상료효，위림상치료제공지도。방법：장2010년3월～2012년3월재본원주원적36례원발성뇌간출혈환자적림상자료진행계통성회고。근거CT급MRI검사계산출혈량，안기출혈량적다소분위삼조，출혈량≤2ml자6례，출혈량재3～5ml자19례，출혈량＞5ml자11례，분석삼조환자적치료정황급예후。결과：출혈량≤2ml조치유솔위100%；출혈량재3～5ml조현효11례，호전6례，치료총유효솔위89.5%，병사솔교저，예후가；출혈량＞5ml조，현효2례，호전5례，치료총유효솔위63.6%，사망솔고，예후차。결론：고혈압동맥경화시인기뇌간출혈적주요원인，출혈량다소여출혈부위가영향환자적치료효과급예후。
Objective: To investigate the clinical department of internal medicine curative effect in treatment of primary brain stem hemorrhage, and provide guidance for clinical treatment. Methods: The 2010 March ~2012 year in March 36 cases of primary were systematical y reviewed the clinical data of patients with brainstem hemorrhage. Calculate the amount of bleeding according to CT and MRI examination, according to the amount of hemorrhage were divided into three groups, 6 cases of blood loss ≤ 2ml, the amount of bleeding in 19 cases of 3~5ml, the amount of bleeding, 5ml in 11 cases, analysis of the treatment and prognosis of three groups of patients. Results: The blood loss ≤ 2ml group, the cure rate was 100%, the amount of bleeding in 3~5ml group were 11 cases, 6 cases were improved, the total effective rate was 89.5%, the mortality rate is low, the prognosis is good, the amount of bleeding, group 5ml, 2 cases were cured, 5 cases improved, the total effective rate was 63.6%, the mortality rate is high, poor prognosis. Conclusion:Hypertensive arteriosclerosis is the main cause of brainstem hemorrhage, bleeding amount and the bleeding site can affect a patient's therapeutic effect and prognosis.
