摘要
目的探讨16层螺旋CT应用于老年急性脑出血的临床诊断价值。方法选取2011年12月~2013年12月我院收治老年（≥60岁）急性脑出血患者60例的CT资料进行回顾性分析。使用GE Brightspeed 16层螺旋CT扫描机行头颅CT平扫,观察脑出血发病部位及相应CT表现。结果 60例老年急性脑出血患者经CT检查出血部位分别为：基底节35例（58.3%）,CT表现为肾形或类圆形高密度影,血肿周围可见环形低密度水肿带。丘脑11例（18.3%）,CT表现为圆形、椭圆形高密度影;脑叶8例（13.3%）、小脑4例（6.7%）,CT表现为圆形或不规则形;脑干1例（1.7%）、多发性出血1例（1.7%）。其中以基底节出血为主要发病部位。结论 16层螺旋CT应用于60例老年急性脑出血患者具有重要的临床诊断价值,可以为指导临床治疗和预后评估提供有利的参考依据。
Objective To investigate the application of 16 slice spiral CT in diagnosis of elderly patients with acute cerebral hemorrhage. Methods From 2011 December to 2013 December, the CT data of 60 cases of patients （aged 1〉 60 years） with acute cerebral hemorrhage were retrospectively analyzed. Used GE Brightspeed 16 slice spiral CT scan- ner for head CT scan, locations and corresponding CT findings of cerebral hemorrhage. Results Sixty cases of elderly patients with acute cerebral hemorrhage by CT examination of the sites of bleeding. 35 cases of basal ganglia （58.3%）, the CT showed kidney shaped or round the high density, visible ring around the hematoma edema with low density. Thalamus in 11 cases （18.3%）, CT showed round, oval shaped high density shadow in 8 cases （13.3%）; Lobes, cerebel- lum in 4 cases （6.7%）, CT showed round or irregular; 1 case of brain stem （1.7%）, 1 case of multiple bleeding （1.7%）. The basal ganglia hemorrhage was the mainsite of occurrence. Conclusion 16 slice spiral CT was applied in 60 cases of elderly patients with acute cerebral hemorrhage has important clinical value in diagnosis, and can provide favorable reference for the clinical treatment and prognosis evaluation.
出处
《中国现代医生》
2014年第31期48-50,共3页
China Modern Doctor
关键词
16层螺旋CT
急性脑出血
死亡率
出血量
16 slice spiral CT
Acute cerebral hemorrhage
Mortality rate
Amount of bleeding
