摘要
目的探讨高血压脑出血血肿CT值与血肿状态的关系,指导临床上准确选择治疗方案。方法回顾性调查了115例高血压脑出血患者的住院资料,分析了术前脑出血血肿平均CT值与术中所见血肿状态的关系,并且调查了CT值与治疗方式的关系。结果115例脑出血病例中,CT值界于50～65Hu者为新鲜出血,60～70Hu为完全陈旧液性血肿,75～85Hu为杂有血块的黏稠的液状血肿,而85～95Hu者为凝固之血肿。CT值提示液性血肿者,行钻孔术即可达到通畅引流和清除血肿的目的;相反,CT值提示粘稠或为固状血肿者,开颅手术的血肿清除率高。结论术前CT检查测定血肿的CT值,能够明确血肿状态,从而作为选择合适手术方式的重要依据。
Objective To explore the relationship between the state of heamatoma and the average CT density of hematoma for hypertensive intracerebral hemorrhage, and guide the correct choice of therapeutic regimen. Methods There were 115 cases of hypertensive intracerebral hemorrhage who were analysed about their hospitalization data retrospectively, and the relationship between CT density and therapeutic regimen were explored. Results Among ll5 eases, it is fresh hemorrhage when average CT density was 50-65Hu, completely obsolete hemorrhage when average CT density was 60-70Hu, icky hematoma messed with coagulated blood when average CT density was 75-85Hu, and coagulated hematoma when average CT density was 85-95Hu. Drilling through cranium could drained smoothly and clewed hematomacompletely, on the eontrary, craniotomy was nezessary for ieky and coagulated hematoma. Conclusions The measurement of the average CT density of hematoma can definitely confirm the state of henmtoma so as to choose correct surgical operative methods.
出处
《海南医学》
CAS
2006年第2期22-23,共2页
Hainan Medical Journal
关键词
高血压
脑出血
CT值
血肿
Hypertension
intereerebral hemorrhage
CT density
Hematoma
