摘要
目的 探讨自发性脑干出血死亡和存活之间的关系 ,为预防治疗提供依据。方法 回顾分析 1991- 0 1～ 2 0 0 1- 0 1在苏州大学附二院神经科住院的 10 8例自发性脑干出血病人 ,按年龄、性别、出血部位、病前危险因素、并发症分组 ,观察上述因素对出血后死亡和存活的影响。结果 自发性脑干出血病人男性大于女性 ,以 6 0～ 79岁多见 ,出血部位多发生于桥脑 ,其次为混合性出血和中脑出血。以出血后存活 2 8d计算 ,本组病人总死亡率 5 4 6 3% ,伴有病前危险因素的脑干出血病人 ,以抽烟、高血压、冠心病、饮酒死亡率较高。出血后并发症以脑疝死亡率最高 ,其次是心律失常和肾功能障碍。结论 自发性脑干出血多见于 6 0～ 79岁老年人 ,死亡率高 ,积极防治病前危险因素可能使发病率和死亡率降低。此外 ,完善急性期治疗。
Objective To discuss the connection between death and survival in spontaneous brainstem hemorrhage,provide evidance for preventive treatment.Methods Retrospective analysis 108 patients with spontaneous brainstem hemorrhage at the neurology department of the second hospital affiliated to Suzhou university fron January 1999 to December 2001 devided into several groups accoding to ages,sex,sites of bleeding,risk factors and complication,observated effection of death and survival.Results Men-more than wemon in patients with brainstem hemorrhage,especially in 60-79 ages,sites of bleeding more often in pons,next are blend and midbrain.all patients mortality is 54 63% as survive 28 days account,the patients with risk factors have more mortality.in all complications,herniation is higest mortality. Conclusions Spontaneous brainstem hemorrhage more occurance in 60-79 old ages and more mortality.It could reduce morbility and mortality with active treatment for risk factors.In addition,perfected acute treatment,prevent and treat complications also improve survival.
出处
《河南实用神经疾病杂志》
2003年第1期3-5,共3页
Henan Journal of Practical Nervous Diseases
