选择经头颅 CT或 MRI确诊的 2 9例原发性脑干出血患者 ,对其临床表现与预后进行分析。本组以头晕、头痛、呕吐症状起病者最多 ,体征中以不同程度运动功能障碍者最多 ,眼征改变多样、复杂。其预后与出血部位及出血量、发病后的意识状态、眼征、发热、有无并发症、白细胞总数、血糖水平等有密切关系。重视起病过程、仔细的临床查体、及时 CT或 MRI检查对本病的诊断有重要意义 A total of 29 patients with primary brain stem hemorrhage who were diagnosed by CT or MRI were selected and their clinical manifestations and prognosis were analyzed. This group to dizziness, headache, vomiting onset most patients, signs of varying degrees of motor dysfunction up to the most diverse eye syndrome changes, complex. The prognosis and the bleeding site and the amount of bleeding after the onset of consciousness, eye sign, fever, with or without complications, the total number of white blood cells, blood glucose levels are closely related. Pay attention to the course of onset, careful clinical examination, timely CT or MRI examination of the disease diagnosis is important