Brain computed tomography findings and their diagnostic value in elderly patients with cerebral hemorrhage

LU Cuihong; ZHANG Baoyuan

doi:10.7619/jcmp.201924003

Journal of Clinical Medicine in Practice > 2019 > 23(24): 8-10. > DOI: 10.7619/jcmp.201924003

LU Cuihong, ZHANG Baoyuan. Brain computed tomography findings and their diagnostic value in elderly patients with cerebral hemorrhage[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 8-10. DOI: 10.7619/jcmp.201924003

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Brain computed tomography findings and their diagnostic value in elderly patients with cerebral hemorrhage

LU Cuihong¹,
ZHANG Baoyuan^{1, 2}

1.
Department of Radiology, Putuo District Hospital of Traditional Chinese Medicine, Shanghai, 200062
2.
Liqun Hospital in Putuo District, Shanghai, 200062

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Received Date: September 28, 2019
Accepted Date: November 08, 2019
Available Online: February 28, 2021
Published Date: December 27, 2019

Graphical Abstract

Abstract

Abstract

Objective To investigate the findings and diagnostic value of brain computed tomography (CT) in elderly patients with intracerebral hemorrhage (ICH).
Methods The clinical data of 60 elderly patients with ICH were retrospectively analyzed. All patients underwent CT examination. The brain CT findings of ICH patients were observed, and the accuracy rate of ICH diagnosed by CT was evaluated, and the relationship between prognosis and ICH lesions, hemorrhage volume was evaluated, and the CT findings of elderly patients with ICH were observed after treatment.
Results The incidence of hemorrhage in the cerebral lobes was highest. Among the 60 patients, 59 cases were detected as cerebral hemorrhage by CT, with the detection rate of 98.33% and 49 of them showed round, round-like or irregular high-density or equal density lesions in the brain, with CT value of 52~71 HU, and ring or flaky edema belt around the lesion was seen. CT findings showed that mixed density in the brain were seen in ten patients. The mortality rates were highest in ICH patients with brain stem hemorrhage, and in those with hemorrhage volume >50 mL. After 2-week of treatment, CT showed that the lesions in the brain of ICH patients were concentrically narrowed, blurred edges and widened annular edema around the lesions, reduced hematoma were found and decreased CT value was detected.
Conclusion Brain CT has a positive effect on the diagnosis, treatment and prognosis of elderly patients with ICH, and is of great value in clinical application.
- intracerebral hemorrhage,
- the elderly,
- computed tomography,
- diagnosis

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References

[1]	成佳星, 徐俊, 徐耀, 等. 脑出血后磁共振弥散加权急性小缺血病灶研究进展[J]. 中国实用内科杂志, 2017, 37(2): 152-154. https://www.cnki.com.cn/Article/CJFDTOTAL-SYNK201702018.htm
[2]	马青峰, 华琦. 急性脑出血降压治疗的变化与争议[J]. 中华老年心脑血管病杂志, 2017, 19(4): 440-441. doi: 10.3969/j.issn.1009-0126.2017.04.029
[3]	刘卫东. 高血压性脑出血的诊治进展[J]. 上海医学, 2017, 40(11): 646-649. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYX201711004.htm
[4]	崔永华, 夏咏本, 虞正权. 高血压性基底节区脑出血的CT分型及手术策略[J]. 中国现代医学杂志, 2017, 27(3): 139-141. doi: 10.3969/j.issn.1005-8982.2017.03.030
[5]	许大远, 李志强, 宋大勇, 等. CT引导立体定向微创手术治疗高血压脑出血的临床效果研究[J]. 神经损伤与功能重建, 2018, 13(7): 358-360. https://www.cnki.com.cn/Article/CJFDTOTAL-GWKF201807010.htm
[6]	张巧莹, 黄晓宇, 梁小红, 等. PACS系统三维测量方法与多田公式计算方法在脑出血测量的准确性比较[J]. 中国医学物理学杂志, 2019, 36(3): 296-300. doi: 10.3969/j.issn.1005-202X.2019.03.010
[7]	许欣, 陈亮. 脑出血患者CT影像学特征与MRI对比分析[J]. 中国CT和MRI杂志, 2018, 16(12): 20-23. doi: 10.3969/j.issn.1672-5131.2018.12.007
[8]	朱季子, 谭占国, 夏志民, 等. CT与MRI检查在脑梗塞并脑出血诊断与疗效评价中的价值研究[J]. 中国CT和MRI杂志, 2018, 16(5): 31-33, 53, 封2. doi: 10.3969/j.issn.1672-5131.2018.05.010
[9]	杨文松, 李琦, 王星辰, 等. CT平扫混合征和黑洞征及其联合征象对脑出血患者早期血肿扩大的预测价值[J]. 中国脑血管病杂志, 2017, 14(11): 561-565, 579. doi: 10.3969/j.issn.1672-5921.2017.11.001
[10]	袁永. 高血压脑出血CT影像学检查与临床预后的相关性分析[J]. 重庆医学, 2017, 46(A01): 287-288. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH201532014.htm
[11]	王定淼, 陈勇, 陈琳, 等. 多层螺旋CT在ICU老年颅脑出血伴昏迷患者救治中应用意义[J]. 中国CT和MRI杂志, 2017, 15(12): 26-27, 40. doi: 10.3969/j.issn.1672-5131.2017.12.008
[12]	卢文杰. CT和MRI在脑血管疾病中的诊断有效性及效果观察[J]. 重庆医学, 2017, 46(A02): 266-267. https://www.cnki.com.cn/Article/CJFDTOTAL-CTMR201607007.htm
[13]	李乾锋, 段发亮, 吴京雷, 等. 微创手术治疗高血压性脑叶出血的临床分析[J]. 天津医药, 2018, 46(6): 644-647, 673-674. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYZ201806019.htm
[14]	李瑞力, 杨明飞. 自发性脑出血CT混合征与CTA点征对早期神经功能恶化的预测研究[J]. 中国现代医学杂志, 2018, 28(27): 124-127. doi: 10.3969/j.issn.1005-8982.2018.27.025
[15]	高进保, 李文德, 于斌, 等. 立体定向导航下经颞下及枕下2种手术方式治疗脑干出血的效果观察[J]. 中国医药导报, 2018, 15(18): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201818045.htm
[16]	高进保, 李文德, 于斌, 等. 立体定向导航下经颞下及枕下2种手术方式治疗脑干出血的效果观察[J]. 中国医药导报, 2018, 15(18): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201818045.htm
[17]	李晓腾, 陈荣彬, 李一明, 等. 内镜下微侵袭手术治疗高血压脑出血的预后影响因素[J]. 中国微侵袭神经外科杂志, 2018, 23(4): 149-151. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWQX201804004.htm
[18]	彭晓晖. 脑出血后并发迟发性脑水肿的危险因素分析[J]. 实用医院临床杂志, 2017, 14(5): 59-61. doi: 10.3969/j.issn.1672-6170.2017.05.019

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