目的:探讨 CT 测量脑出血量及中线结构移位的临床应用价值。方法选择本院收治的脑出血患者120例,通过 CT 观察出血部位、出血量及中线结构移位程度,并分析临床治疗后患者一年内死亡率与中线结构移位程度的关系。结果出血部位基底节78例,丘脑17例,脑叶8例,小脑半球10例,脑干7例;脑出血量≤28 mL 80例,〉28 mL 40例;中线移位0、1-5 mm、6-10 mm、〉10 mm,死亡率分别为12.6%、21.88%、57.14%及78.0%,中线移位越明显,死亡率越高。结论 CT 测量脑出血量及中线结构移位对脑出血的临床治疗具有指导性意义。
objective To investigate the clinical application value of CT in measuring the quantity of cerebral hemorrhage and the midline shift. Methods 120 cases of cerebral hemorrhage were studied in our hospital, whose bleeding position, bleeding amount and the shift degree of midline structure were observed by using CT. Analysis was made of the relationship between mortality and the mid-line shift degree within one year after clinical treatment. Results Through CT, we detected basal ganglia hemorrhage in 78 cases, tha-lamic hemorrhage in 17 cases, lobar hemorrhage in 8 cases, cerebellar hemisphere hemorrhage in 10 cases, brain stem hemorrhage in 7 cases; 80 cases with cerebral hemorrhage volume ≤ 28 mL, and 40 cases > 28 mL, when the midline shifted 0 mm, 1 ~ 5 mm, 6~ 10 mm, and more than 10 mm, the mortality rates were 12. 6% , 21. 88% , 57. 14% and 78. 0% respectively. The more the mid-line shifted, the higher the mortality rate was. Conclusion Measurement of cerebral hemorrhage