12 cases of brain stem hemorrhage clinical and CT_

yxfbbiedtj · Wysłany: Pią 17:56, 25 Mar 2011

12 cases of brain stem hemorrhage clinical and CT

Volume. Of allergy patients to use oral medication, try not to injections. While taking note that multi-drug incompatibility, the use of their unused drugs to be followed after the first small-large (number of cases, dose) principles to ensure safe and effective. (Trench Series: He Zhiyuan) 12 cases of brain stem hemorrhage clinical and CT Wang Shan Jilin Electric Power Hospital, cerebral hemorrhage and CT scan reports are more, most of which is about the internal capsule and cerebral hemorrhage in the report of the leaves, stem Clinical and CT scan bleeding a few reports, now in our hospital from 1994 to 2001, White asked the 12 patients observed in analysis are summarized below. 1 clinical data in 12 patients were 8 males and 4 females, age 28 to 78 years, mean 53 years, including history of hypertension in 9 cases. Signs and symptoms: coma, quadriplegia, pinpoint pupils, central high fever in 8 cases, a clear consciousness, cross-paralysis, sensory disturbance in 4 cases of partial body, occurred during the treatment of upper gastrointestinal bleeding in 6 cases. 2CT information, listen to the sick person in the shot within 2 hours after the onset of the first CT slice. Bleeding 3 ~ 13mI, an average of 8ml. T site of bleeding in 2 cases of cerebral hemorrhage, pontine hemorrhage in 9 cases, 1 case of medullary hemorrhage. Asked by the treatment of dehydration, reduce intracranial pressure, control blood pressure and other mechanized Lun treatment, 4 patients signs and symptoms significantly improved, 8 cases of disease progression, death within 48 hours. Determine the efficacy of the standard by 1986, the Second National Assessment of Stroke Conference standard. 12 patients recovered in 2 cases, effective in 1 case, progress in 1 case, 8 patients died. 4 cases of patients who survive treatment for 3 weeks after CT. 2 patients recovered completely absorbed hematoma, CT see only low density lesions in cases of lesions was markedly reduced l1, absorbed most of the brain hematoma, CT see high-density lesion 2 / 3 has been absorbed, no change in lesion size; 1 case of progressive brain some absorption of hematoma, CT see the original high-density lesion 1 / 3 has been absorbed, no change in lesion size. 3 Discussion brain stem is the most important part of Sino-brain, pons and medulla oblongata of three parts, the brain stem although smaller share of the nervous system, but there are internal but important in human nervous system activities of complex structure. In addition to the brain stem cranial nerve nuclei, cranial nerve nuclei and the non-neurotransmitter up and down, there are quite a wide distribution of the cell body and fiber staggered. Network structure, and motor and sensory function. brainstem hemorrhage caused by hypertension basilar artery rupture caused by paracentral artery. hemorrhage may immediately coma, quadriplegia, Pakistan's disease positive, bilateral pinpoint pupils were extremely narrow, central high fever , respiratory failure, multiple deaths within 48 hours. very little special treatment for some patients, CT showed hemorrhage, mild symptoms, a clear consciousness, only the performance of dizziness, paralysis and partial cross-sex body sensation, after combined treatment by a significant improvement in symptoms and signs of recovery . brainstem hemorrhage more common in older persons, hypertension, atherosclerosis is the most common cause of vascular malformation in a small number of mainly young people in the majority. pontine hemorrhage in the brain stem hemorrhage accounted for more than 8O%, bleeding in the brain and medulla oblongata rare, brain stem hemorrhage cerebral hemorrhage came in fourth place, clinical symptoms and high mortality. According to historical statistics about the amount of bleeding more than 10ml 9O patients died, bleeding deaths in this group bigger than 10ml, clinical rare vascular malformation of the brain stem, When there are no obvious signs of difficult clinical diagnosis, if the line in time with cerebral angiography and MRI examination can be diagnosed early. brainstem hemorrhage dangerous disease, high mortality, completely cured difficulties, the amount of bleeding, early diagnosis and timely rescue treatment, should be able to reduce mortality. (trench Series t Cui Libo) Traumatic Experience in treatment of acute intracranial hematoma Suan Hua Qing-Jun Ma Wenqi by the Jilin City Central Hospital, a clinical data in this group of 58 patients aged 3 to 69 years. injuries to Question 1 on admission to 15 hours, 47 patients with primary coma, no coma and secondary coma in 11 cases, when the conscious to the hospital in 36 cases, 22 cases of coma, brain herniation CT examination in 17 cases: 12 cases of epidural hematoma, 26 cases of subdural hematoma, intracerebral hematoma in 14 cases, mixed hematoma in 6 cases, emergency surgery in 24 cases, 35 cases of non-surgical treatment, 1 patient died after admission, 39 patients with good recovery at discharge, 19 cases of disability (including 11 cases of mild disability,[link widoczny dla zalogowanych], moderate disability in 6 cases, severe disability in 2 cases). 2 discussed the treatment of sub-acute intracranial hematoma surgery, non-surgical treatment, surgical treatment should be the indications. We understand mydriasis surgical treatment should be immediate, greater than 40ml were supratentorial hematoma, infratentorial emergency surgery should be greater than 10ml. For a history of injury without coma, intracranial hematoma can not be excluded