丘脑出血CT分型的临床特点及预后分析  

Clinical characteristic and prognostic analysis of thalamus hemorrhage typing by CT

作　　者：张永葆[1] 祝善尧[1] 徐劲[1] 

机构地区：[1]安徽巢湖市第一人民医院神经内科,巢湖238000

出　　处：《中国实用神经疾病杂志》2009年第12期14-16,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨丘脑出血CT分型的临床特点及与预后的关系。方法103例丘脑出血患者按CT分为三型,分析各型的临床特点,通过改良Rankin量表(MRS)评价患者的预后。结果各型丘脑出血因扩展方向不同,临床表现及预后不同,其中Ⅰ型临床症状轻,预后最好,以感觉障碍为主,预后良好率92.3%,无1例死亡。Ⅱ型偏瘫明显,预后不良率55.56%,病死率16.67%。Ⅲ型症状重并发症多,预后最差,预后不良率100%,病死率70%。三型预后不良率及病死率比较有显著性差异(P<0.01)。结论丘脑出血按CT分型可很好地反映临床特点及预后,对临床有重要指导意义。Objective To investgate the clinical characteristic and its related prognosis of thalamus hemorrhage patients typing by CT. Methods The 103 thalamus hemorrhage patients were divided into 3 types, clinical characteristic of each type was analyzed, the prognosis was evaluated by a modified Rankin scale （MRS）. Results Each type had a different extension direction, so clinical characteristic and prognosis were different . The clinical symptom of type Ⅰ was gent, they had the best prognosis and sensory disorder mostly, favorable prognosis was 92.3 % ,no one died. Type Ⅱ had hemiplegia obviously, poor prognosis was 55.56%, mortality was 16.67%o. The symptom of type Ⅲ was severe and they had more complications, and the prognosis was worst, poor prognosis was 100%, mortality was 70%. Poor prognosis rate and mortality had significant difference between the 3 types（P〈0.01） . Conclusion Thalamus hemorrhage patients typed by CT can reflect clinical characteristic and prognosis accurately, and has an important instructive meaning on the clinic.

关 键 词：丘脑出血 CT分型 临床特点 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]