| 吴瑞 刘胜武 李海军 王柳毅 王乐.一组有或无CT 脑灌注" 点征"的自发性脑内出血患者临床效果观察[J].,2016,16(31):6169-6172 |
| 一组有或无CT 脑灌注" 点征"的自发性脑内出血患者临床效果观察 |
| Observation Study of Patients with Spontaneous Intracerebral Hemorrhagewith or without CT Cerebral Perfusion Dot Sign |
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| DOI： |
| 中文关键词: CT 脑灌注 sICH患者 点征 自发性脑内出血 预后 |
| 英文关键词: CT cerebral perfusion sICH Patient Dot sign Spontaneous intracerebral hemorrhage Prognosis |
| 基金项目:延安大学附属医院研究基金项目(10YJ11) |
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| 中文摘要: |
| 目的：观察有或无CT 脑灌注" 点征"自发性脑内出血（sICH）患者的临床疗效。方法：以本院2013 年5 月～2015 年5 月就
诊的100 例sICH，均接受基线CT脑灌注检查，依据是否有" 点征"将患者分为观察组（有" 点征"）与对照组（无" 点征"），24 内
行CT 平扫复查，比较两组影像学结果及临床结果。并通过Logistic多因素分析影响sICH 患者预后不良（死亡）危险因素。结果：
观察组24h 内CT平扫复查血肿增长6 mL以上、血肿增长相对值33%及以上比率均明显高于对照组（P＜0.05）；观察组血肿进展
发生率、3个月内死亡率分别为63.04%、36.96%，显著高于对照组的14.81%、7.41%（P＜0.05）。Logistic 回归分析发现sICH 患者预
后不良独立危险因素包括基线血肿体积、" 点征"。结论：有或无CT 脑灌注"点征" 自发性脑内出血患者血肿进展、预后不同，基
线血肿体积、" 点征" 为sICH患者预后不良的独立危险因素。 |
| 英文摘要: |
| Objective:To observe the clinical curative effect in patients with spontaneous intracerebral hemorrhage (sICH) with or
without CT cerebral perfusion dot sign.Methods:100 patients with sICH treated in our hospital between May 2013 and May 2015 were
selected. All patients received baseline CT cerebral perfusion examination. According to whether there was dot sign, the patients were divided
into observation group (with dot sign) and control group (without dot sign). In 24 hours, CT scan review was performed. The imaging
findings and clinical results were compared between the two groups. The risk factors of poor prognosis (death) of patients with sICH
were analyzed by multivariate Logistic analysis.Results:CT scan review showed that hematoma increased more than 6 mL and the relative
value of increased hematoma was 33% in the observation group in 24 hours. Besides, the ratios in observation group were significantly
higher than those in the control group (P<0.05); The incidence rate of hematoma progression and mortality rate in 3 months in the
observation group (63.04%, 36.96%) was significantly higher than that in the control group (14.81%, 7.41%) (P<0.05). Logistic regression
analysis found that the risk factors of poor prognosis of patients with sICH included baseline hematoma volume and dot sign.Conclusion:The hematoma progression and prognosis of patients with sICH with or without CT cerebral perfusion dot sign are different. Baseline
hematoma volume and dot sign are risk factors of poor prognosis of patients with sICH. |
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