临床与CT表现在出血性脑瘤卒中早期诊断中的价值

王保军

（陕西省杨陵示范区医院放射科，陕西 咸阳，712100）

浏览次数：159次 下载次数：305次

摘要：

目的 探讨临床表现及CT表现在出血性脑瘤卒中早期诊断中的临床意义。方法 择取我院收治的确诊为出血性脑瘤卒中的患者32例，患者在疾病急性发作期入院完成第一次CT检查，检查时间为发病后的2~24 h。患者均经头颅CT检查显示病灶，在其病情稍稳定后再进行增强CT检查。记录本组患者的临床表现及CT扫描成像表现。结果 患者的临床表现多为意 识不清、瞳孔改变、肢体偏瘫及脑膜刺激征等人体神经系统受到损害时所产生的临床症状。CT检查结果显示：18例患者呈现边缘清晰的高密度血肿；21例患者可见实体肿瘤，剩余11例肿瘤病灶不明显；19例患者瘤灶周边组织有指压样水肿带。结论 出血性脑肿瘤卒中易与脑血管出血卒中相混淆，因此在临床诊断中需对患者的病史进行详细了解，患者病灶区域内出现水肿情况时需及时进行CT扫描检查，以提升早期诊断准确率。

关键词：出血性脑瘤卒中；临床表现；CT 表现；诊断依据

中图分类号：R739.4文献标志码：A文章编号：2096-1413(2017)16-0160-02

Value of clinical and CT features in the early diagnosis of hemorrhagic brain tumor
WANG Bao-jun
(Department of Radiology, Yangling Demonstration Zone Hospital, Xianyang 712100, China)

ABSTRACT: Objective To explore the value of clinical and CT features in the early diagnosis of hemorrhagic brain tumor. Methods Thirty-two cases of patients diagnosed as hemorrhagic brain tumor in our hospital were selected, and the first CT scan during the acute exacerbation of the disease for the first time were completed, the inspection time was 2-24 h after the onset. All the patients were examined by head CT examination to observe lesions, then the enhanced CT examinations were taken in the stable condition. The clinical manifestations and CT scan imaging performance of the patients were recorded. Results The clinical manifestations of patients were mostly unconsciousness, pupil changes, paralytic limbs and meningeal irritation and other clinical symptoms caused by the damage of human nervous system. CT examination results showed: 18 patients of clear high-density hematoma at the edge; 21 cases can be seen solid tumors, and the remaining 11 cases of tumor lesions were not obvious; 19 cases of tissue of finger pressure edema around the tumor. Conclusion Hemorrhagic brain tumor is easy to be confused with cerebral hemorrhage apoplexy, therefore the patients` history is needed detailed understanding in clinical diagnosis. When patient`s lesion area appearing the edema situation, CT scan should be timely proceeded to improve the early diagnostic accuracy.
KEYWORDS: hemorrhagic brain tumor; clinical manifestations; CT performance; diagnostic basis

参考文献：
[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,2014,1(26):92-93.
[2] 张红万.出血性脑瘤卒中的CT诊断[J].心理医生(下半月刊),2012,1(10):345-346.
[3] 李江波.64排螺旋CT在神经系统疾病诊断中的优势分析[J].中国实用医药,2015,10(25):78-79.
[4] 张芙蓉,刘峰,刘广忠.经颅多普勒超声检查在神经系统疾病中的应用[J].山东医药,2013,53(37):97-99.
[5] 黄强辉,高幼奇,王川红,等.脑CT灌注成像在中枢神经系统疾病中应用研究进展[J].南昌大学学报:医学版,2016,56(2):88-91.