丘脑出血的临床与CT  

Clinic and CT Scan of Thalamus Hemorrhage

作　　者：罗宇[1] 陈晓渝[1] 

机构地区：[1]武警重庆市总队医院神经内科,重庆400061

出　　处：《临床军医杂志》2000年第4期15-17,共3页Clinical Journal of Medical Officers

摘　　要：目的　为了研究丘脑出血临床特征。方法　对 6 4例经CT证实的丘脑出血进行回顾性分析。结果　丘脑出血多数发生在 6 0岁以上 ,有高血压占 75 %。临床表现为昏迷、语言功能障碍、感觉异常等。出血量与疾病程度、治疗效果和死亡率显著相关 ,出血量 15ml以内 ,有较好的治疗效果 ,出血量超过 15ml死亡率显著增加。结论　年龄和高血压是丘脑出血的危险因素 ,出血量越多 ,死亡率越高。Objective To study the clinical features in thalamus hemorrhage. Methods The clinical symptoms in 64 cases of thalamus hemorrhage with scan examination were reviewed. Result The patients with thalamus hemorrhage usually were over 60 years, and the patients who had hypertension were 75%. The clinical manifestation included coma, language function impairment, sense abnormality and so on. There was significant relationship between hemorrhagic capacities and the degree of disease, the effect of therapy and the mortality. The patients with hemorrhagic capacity within 15 ml in CT scan had more satisfactory therapic effect and lower mortaity. But the mortality in the patients with hemorrhagic capacity over 15 ml increased markedly. Conclusion The age and hypertension are important dangerous factors for thalamus hemorrhage. The more hemorrhagic capacity, the higher mortality.

关 键 词：丘脑出血 CT 高血压 

分 类 号：R543.7[医药卫生—心血管疾病]