原发性桥脑出血的CT分型、CT改变与预后  

Primary Pontine Hemorrhage: CT Classification, CT Variety and Prognosis

作　　者：骆成[1] 常莎[1] 李监松[2] 李茂进[3] 甘万崇[3] 

机构地区：[1]海南省海口市人民医院放射科,海南海口570208 [2]华中科技大学同济医学院协和医院神经外科 [3]武汉大学人民医院放射科

出　　处：《中国医学影像技术》2002年第12期1268-1269,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　研究原发性桥脑出血 (PPH)的CT分型、CT改变与预后的关系。方法　按Chung’s分型方法 ,将 2 8例PPH分型归类。结果　 2 8例PPH病人中 ,大量出血型 9例 ,死亡 8例 ;基底被盖型 8例 ,死亡 7例 ;双侧被盖型 11例 ,死亡4例 ;无 1例单侧被盖型 ;总死亡率 67.86%。其中大量出血型和基底被盖型与双侧被盖型的死亡率存在显著性差异 (P <0 .0 5 )。结论　当PPH表现为大量出血型或基底被盖型或血肿量 >4ml时 ,死亡率增高 ,预后不良。Purpose To study the relationship between CT classification, CT variety and prognosis in primary pontine hemorrhage (PPH). Methods Twenty eight patients with PPH were classified into four types according to Chung's classification. Results Nine patients belonged to the massive type (8 cases died), 8 to the basal tegmental type (7 cases died), 11 to the bilateral tegmental type (4 cases died). The total mortality rate was 67.68%, there was significant difference between the bilateral tegmental type and others ( P <0.05). Conclusion When PPH presented as the massive type or the base tegmental type or volume of the hematoma more than 4ml, the prognosis was poor.

关 键 词：CT分型 CT改变 原发性桥脑出血 预后 PPH 

分 类 号：R743.34[医药卫生—神经病学与精神病学]