摘要
目的探讨脑萎缩并发脑出血的预后。方法2002年3月～2006年12月我院收治的40例脑萎缩并发脑出血病例中死亡24例,存活16例,对其临床和CT资料进行了对比性研究。结果研究表明,死亡高峰期为50～80岁,预后与出血量、血肿部位及是否有脑室积血密切相关。血肿破溃形成脑室积血率高。6例大于30mL血肿的脑室积血发生4例。本组40例死亡率为60%,死亡率高的原因可能是脑萎缩并发脑出血易破人脑室,并且脑出血与脑萎缩并存者应激能力差,对伤害性损害的耐受力低,易并发感染或器官衰竭而死亡。结论脑萎缩并发脑出血预后差、死亡率高。
Objective To study the prognosis of the patients with cerebral atrophy complicated with cerebral hemorrhage, Methods Among the 40 patients with cerebral atrophy complicated with cerebral hemorrhage, 24 died and 16 survived, and the clinical and CT data between the 24 cases and 16 cases were studied comparatively. Results Our study showed that the peak period of death was between 50 and 80 years, and prognosis was closely related with the amount of bleeding, the site of hematoma and the presence of intraventricular hemorrhage. Hematoma rupture would give rise to a high rate of intraventricular hemorrhage. The incidence for intraventricular hemorrhage resulted by hematoma greater than the size of 30 mL was 66.7% （4/6）. The mortality rate of the 40 cases was 60%, which was due to cerebral atrophy complicated with cerebral hemorrhage liable to rupture into the ventricle, in addition, the patients with cerebral atrophy complicated with cerebral hemorrhage were poor in stress capacity, low in tolerance to destructive injuries and were prone to die with the complication of infection or organ failure. Conclusion The prognosis for patients with cerebral atrophy complicated with cerebral hemorrhage is poor and the mortality rate for these patients is high.
出处
《中华神经医学杂志》
CAS
CSCD
2007年第7期700-701,704,共3页
Chinese Journal of Neuromedicine
关键词
脑萎缩
脑出血
Cerebral atrophy
Cerebral hemorrhage
