首页|CT影像对脑出血患者出血部位、出血量、血肿形态及破入脑室情况的评估分析

CT影像对脑出血患者出血部位、出血量、血肿形态及破入脑室情况的评估分析

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目的:探析对脑出血患者应用CT影像检查其临床相关特征表现以及对预后质量评估价值.方法:纳入2020年1月~2022年12月收治确诊脑出血患者100例为分析对象,所有患者均在发病后24h内接受CT影像学检查,对患者的出血位置、出血量、血肿形态还有破入脑室的情况进行整理,并分析上述CT影像特征内容对于患者预后情况的评估价值.结果:所有患者均通过CT影像诊断出血位置,计算可得患者的出血量.血肿形态方面主要呈现为球形;有37例患者出现破入脑室的情况.在对患者展开针对脑出血抢救措施后,9例患者死亡,经单因素分析后认为出血病灶所在位置、出血量>60CT、存在血肿破入脑室以及中位线明显移位是影响患者预后的危险因素.结论:通过CT扫描能够明确脑出血患者的病灶所在位置、出血量,血肿形态以及是否有破入脑室的情况,并以此作为评估患者预后的重要依据,为医生提供重要数据参考.
Evaluation and Analysis of CT Imaging on the Bleeding Site,Bleeding Volume,Hematoma Morphology,and Intraventricular Rupture in Patients with Cerebral Hemorrhage
Objective:Exploring the clinical characteristics and evaluation value of CT imaging examination for the quality of prognosis in patients with cerebral hemorrhage. Methods:100 patients with confirmed cerebral hemorrhage admitted between January 2020 and December 2022 were included as the analysis subjects. All patients underwent CT imaging examination within 24 hours after onset,and their bleeding location,bleeding volume,hematoma morphology,and rupture into the ventricles of the brain were sorted out. The evaluation value of the CT impact characteristics on the prognosis of patients was analyzed. Results:All patients were diagnosed with the location of bleeding through CT imaging and their bleeding volume was calculated. The hematoma mainly presents as a spherical shape;37 patients experienced ventricular rupture. After implementing treatment measures for cerebral hemorrhage,9 patients died. After univariate analysis,it was found that the location of the bleeding lesion,bleeding volume>60mL,presence of hematoma rupture into the ventricle,and significant displacement of the median line were risk factors affecting the prognosis of the patients. Conclusion:Through CT scanning,the location of the lesion,the amount of bleeding,the shape of the hematoma,and whether there is a rupture into the ventricle in patients with cerebral hemorrhage can be clearly determined. This serves as an important basis for evaluating the prognosis of patients and provides important data reference for doctors.

CT imagingcerebral hemorrhagelocation of lesionbleeding volumehematoma morphologybreaking into the ventricles of the brainprognosis

马婷

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乐平市人民医院CT室,江西景德镇 333300

CT影像 脑出血 病灶位置 出血量 血肿形态 破入脑室 预后

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)