出血性脑瘤卒中早期诊断中CT的临床表现分析
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摘要
目的:研究出血性脑瘤卒中早期诊断中CT临床表现的应用价值。方法:以2012年1月—2017年12月本院接诊的出血性脑瘤卒中病患40例为研究对象,所有病患都在发病后的2～24h内入院接受CT检查。患者头颅CT检查提示存在病灶,并于病情稍稳定时接受增强CT检查,对患者CT检查的结果进行综合分析。结果:本组40例病患都有不同程度的肢体偏瘫、意识不清、脑膜刺激征与瞳孔改变等症状,CT检查提示存在高密度血肿且边缘较为清晰者有21例、存在实体肿瘤者有24例、肿瘤病灶不明显者有16例。瘤灶周边组织出现指压样水肿带的有21例。结论:因出血性脑瘤卒中和脑血管出血卒中比较容易发生混淆,所以,临床医师在对患者进行诊断时,需充分了解其病史,若患者的病灶中存在水肿现象,需立即对其施以CT检查,以进一步提高其早期诊断的准确性。
Objective To study the clinical value of CT in early diagnosis of hemorrhagic brain stroke. Methods 40 cases of hemorrhagic brain tumor stroke patients received in our hospital from January 2012 to December 2017 were studied. All patients were admitted to the hospital after the onset of 2～24 h to receive CT examination. The head CT examination showed the presence of lesions and enhanced CT examination at the time of stable condition. The results of CT examination were analyzed comprehensively. Results 40 patients in this group had different degrees of hemiplegia, poor consciousness, meningeal irritation and pupil change. CT showed that there were 21 cases of high density hematoma with clearer edge, 24 cases with solid tumor and 16 cases with insignificant tumor lesion. There were 21 cases of finger like edema zone around the tumor foci. Conclusion Hemorrhagic brain tumor stroke and cerebral vascular hemorrhage stroke are easier to be confused. Therefore, clinicians should fully understand the history of the patients when they diagnose the patients. If there is edema in the lesions of the patients, the CT examination should be taken immediately to further improve the accuracy of the early diagnosis.
Objective To study the clinical value of CT in early diagnosis of hemorrhagic brain stroke. Methods 40 cases of hemorrhagic brain tumor stroke patients received in our hospital from January 2012 to December 2017 were studied. All patients were admitted to the hospital after the onset of 2～24 h to receive CT examination. The head CT examination showed the presence of lesions and enhanced CT examination at the time of stable condition. The results of CT examination were analyzed comprehensively. Results 40 patients in this group had different degrees of hemiplegia, poor consciousness, meningeal irritation and pupil change. CT showed that there were 21 cases of high density hematoma with clearer edge, 24 cases with solid tumor and 16 cases with insignificant tumor lesion. There were 21 cases of finger like edema zone around the tumor foci. Conclusion Hemorrhagic brain tumor stroke and cerebral vascular hemorrhage stroke are easier to be confused. Therefore, clinicians should fully understand the history of the patients when they diagnose the patients. If there is edema in the lesions of the patients, the CT examination should be taken immediately to further improve the accuracy of the early diagnosis.
引文
[1]李国新.分析出血性脑瘤卒中的临床与CT表现以获取早期诊断的依据[J].医学信息,2014,(26):92-93.
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[2]陈颖.分析出血性脑瘤卒中的临床与CT表现以获取早期诊断的依据[J].健康前沿,2017,26(8):131.
[3]王保军.临床与CT表现在出血性脑瘤卒中早期诊断中的价值[J].临床医学研究与实践,2017,2(16):160-161.
[4]王纪军,杨正宏.脑瘤卒中误诊为老年性脑出血5例分析[J].吉林医学,2011,32(11):2216-2217.
[5]闫芳.脑肿瘤卒中的临床诊治分析[J].中国医药指南,2012,10(14):259-260.
[6]王道军,关海森.脑瘤卒中误诊为脑出血12例临床分析[J].中国实用神经疾病杂志,2014,(18):140-140.