摘要
目的:探讨脑萎缩并发脑出血的临床特点。方法:回顾性分析1478例脑出血患者的临床资料,并将其中脑萎缩并发脑出血68例患者的临床和CT资料与单纯脑出血病例进行对比性研究。结果:脑萎缩并发脑出血临床表现以意识障碍为主要特点,血肿破入脑室系统比例高,脑积水发生率高,早期血肿扩大发生率明显高于单纯脑出血病例,并发症发生率高,病死率高,死亡原因主要是合并感染或器官衰竭等并发症。结论:脑萎缩并发脑出血预后差、病死率高。
Objective To explore the clinical characteristics of cerebral atrophy complicated with cerebral hemorrhage. Methods Data of all patients with intracerebral hemorrhage were reviewed retrospectively. Among the 1478 patients with intracerebral hemorrhage, 68 patients were complicated with cerebral atrophy. And the clinical and CT data were compared between the cases of cerebral atrophy complicated with cerebral hemorrhage and the cases of pure intracerebral hemorrhage. Results The conscious disturbance was the main clinical feature in the patients with cerebral atrophy complicated with cerebral hemorrhage. The rates of intraventricular hemorrhage and hydrocephalus were high. And the rate of early hematorma enlargment in the patients with cerebral atrophy complicated with cerebral hemorrhage was higher than the patients with pure intracerebral hemorrhage. The rates of complications and fatality were high, which was due to the complications of infection or organ failure. Conclusion The prognosis for patients with cerebral atrophy complicated with cerebral hemorrhage is poor and the fatality rate is high. words]
出处
《中华实用诊断与治疗杂志》
2010年第1期34-36,共3页
Journal of Chinese Practical Diagnosis and Therapy
关键词
脑出血
脑萎缩
Cerebral hemorrhage
cerebral atrophy
