【摘要】 目的探讨丘脑出血CT分型的临床特点及与预后的关系。方法103例丘脑出血患者按CT分为三型,分析各型的临床特点,通过改良Rankin量表(MRS)评价患者的预后。结果各型丘脑出血因扩展方向不同,临床表现及预后不同,其中Ⅰ型临床症状轻,预后最好,以感觉障碍为主,预后良好率92.3%,无1例死亡。Ⅱ型偏瘫明显,预后不良率55.56%,病死率16.67%。Ⅲ型症状重并发症多,预后最差,预后不良率100%,病死率70%。三型预后不良率及病死率比较有显著性差异(P<0.01)。结论丘脑出血按CT分型可很好地反映临床特点及预后,对临床有重要指导意义。更多还原

【Abstract】 Objective To investgate the clinical characteristic and its related prognosis of thalamus hemorrhage patients typing by CT. Methods The 103 thalamus hemorrhage patients were divided into 3 types, clinical characteristic of each type was analyzed, the prognosis was evaluated by a modified Rankin scale (MRS).Results Each type had a different extension direction, so clinical characteristic and prognosis were different . The clinical symptom of type Ⅰwas gent, they had the best prognosis and sensory disorder mostly, favorable prognosis was 92.3%,no one died. Type Ⅱhad hemiplegia obviously, poor prognosis was 55.56%, mortality was 16.67%. The symptom of type Ⅲ was severe and they had more complications, and the prognosis was worst, poor prognosis was 100%, mortality was 70%. Poor prognosis rate and mortality had significant difference between the 3 types(P<0.01) .Conclusion Thalamus hemorrhage patients typed by CT can reflect clinical characteristic and prognosis accurately, and has an important instructive meaning on the clinic.更多还原