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讨论高血压脑出血的ＣＴ表现与手术疗效的关系。方法通过ＣＴ显示的出血部位、出血量、出血破人脑室后的形态分布及中线结构移位４种情况阐述其与手术预后的关系。结果深部出血死亡率高达７０％，是浅部出血的９倍；出血量＞３０ｍｌ死亡率为＜３０ｍｌ的１倍；中线移位＞１０ｍｍ死亡率为５０％；出血破人脑室井扩展到第三脑室导水管以下者死亡率为１００％。结论对浅部血肿以超早期手术治疗为最佳选择；力求减压为目的，不强求“彻底清除”，以免加重和扩大损伤。
To discuss the relationship between the CT manifestations of hypertensive cerebral hemorrhage and the curative effect. Methods Four cases of bleeding, bleeding volume, morphological distribution after hemorrhagic rupture of human brain, and midline structure shift were described by CT. Results The mortality rate of deep hemorrhage was as high as 70%, 9 times that of superficial hemorrhage. The mortality rate of bleeding> 30ml was 1 times of <30ml. The median displacement was 10mm. The mortality rate was 50% Ventricular aqueduct below the mortality rate of 100%. Conclusion Superficial hematoma with ultra-early surgical treatment is the best choice; for the purpose of decompression, does not require “complete removal”, so as not to aggravate and expand the injury.