摘要
目的探讨高血压性脑出血(HICH)临床及CT特征与预后关系。方法收集本院221例高血压性脑出血病例的临床及CT资料,对其出血部位、出血量、血压、意识状态、年龄、性别与预后关系进行分析。结果 221例患者中,男性130例(58.82%),女性91例(41.18%),男女比例为1.43∶1。本组病例以幕上脑实质出血比例最多,有159例(71.95%),平均出血量(42.1493±42.12670)ml,死亡23例(10.41%),幕下脑实质出血32例(14.48%),平均出血量(12.6267±11.05625)ml,死亡10例(4.52%)。各部位出血中,以基底节出血占首位,共139例(62.90%),骈胝体出血最少,仅1例。起病就诊时血压:平均收缩压(180.4274±29.93832)mmHg,平均舒张压(108.8569±19.24381)mmHg。死亡与非死亡患者血压有统计学意义。死亡患者起病就诊时意识状态均为昏迷。结论中年组患病率高,出血量、起病就诊时血压及意识状态均是决定预后的危险因素,早期CT检查可明确诊断及治疗方法。
Objective To investigate the relationship between CT scanning results, the clinical data, and clinical prognosis in patients with hypertensive intracerebral hemorrhage（HICH）. Methods The data of 221 patients （male 130, female 91） with HICH admitted to our hospital from January 2006.to December 2009 were collected and the relationships among bleeding locations, volumes of bleeding, age, gender and their prognosis were examined. Results In all patients with HICH, supratentorial intracerebral hemorrhage （71.95%）, was mainly showed with an average volume of bleeding of （42.1493 ± 42.12670） ml and 23 death （10.41%）; infratentorial intracerebral hemorrhage（ 14. 48%） appeared with an average volume of bleeding of （12.6267 ± 11.05625） ml and 10 death （4.52%）. As＇to bleeding location, the basal ganglia ranked first （62.90%）. Conclusions The mortality of HICH is higher in patients with SICH than that in patients with IICH. The volume of bleeding is one of.the most important risk factors. The more the volume of bleeding, the higher the mortality. The blood pressure is an important risk factor to mortality with hypertensive intracerebral hemorrhage.
出处
《临床医学工程》
2011年第3期336-338,共3页
Clinical Medicine & Engineering
关键词
高血压性脑出血
CT
出血量
血压
预后
Hypertensive intracerebral hemorrhage
CT scanning
Volume of bleeding
Blood pressure
Prognosis
