脑干出血临床上较少见,约占全部脑出血的10%[1]。该病发病急、病情重,愈后较差,病情凶险,发病率有逐渐增高趋势。由于发病原因不是十分明确,临床症状复杂,临床上常易漏诊、误诊,治疗效果欠佳。近十几年来神经科学的发展使人们对脑干有了新的认识,从发病机制、诊断、治疗和预防措施等方面进行了大量的基础和临床研究,取得了明显进步。现就脑干出血的病因病理、临床表现、诊疗、预防作一综述。 Brainstem hemorrhage is clinically rare, accounting for about 10% of all intracerebral hemorrhage [1]. The incidence of acute disease, severe illness, worse after the disease is dangerous, the incidence has gradually increased. As the etiology is not very clear, complex clinical symptoms, often misdiagnosed clinically, misdiagnosis, poor treatment. In recent decades, the development of neuroscience has brought new understanding to the brain stem and made a great deal of basic and clinical researches on the pathogenesis, diagnosis, treatment and preventive measures, and has made remarkable progress. Now on the etiology and pathology of brain stem bleeding, clinical manifestations, diagnosis and treatment, prevention is reviewed.