原发性脑室出血的临床分析

Clinical analysis of primary intraventricniar hemorrhage

目的 研究原发性脑室出血的临床特点,并筛选与其预后相关的因素.方法 回顾性研究21例原发性脑室出血患者的临床资料,并用逻辑回归方法分析影响其预后的危险因素.结果 入院时21例患者格拉斯哥昏迷（GCS）评分为（10.5±2.0）分,脑室内血肿体积（Graeb）评分为（6.7±2.6）分,入院时GCS评分与Graeb评分高度负相关（r=0.66,P＜0.01）.出院时21例患者的改良Rankin量表评分为（2.9±1.1）分,与人院时GCS评分、Graeb评分、患者性别和外引流术有关（P＜0.05）.结论 原发性脑室出血病因多不明确但预后较好,早期行脑室外引流能改善患者预后.

Objective To study the clinical characteristics of primary intraventricular hemorrhage （PIVH）and screen the risk factors for prognosis. Methods Materials of Twenty-one PIVH cases were retrospectively studied and risk factors for prognosis were identified by Logistic Regression analysis. Results Glasgow coma scale （GCS） in admission were 10.5 ± 2.0 and 6.7 ± 2.6 in Graeb scores,GCS in admission was correlated with Graeb scores closely （r=0.66,P 〈0.01）. mRS was 2.9 ± 1.1 on discharge. High GCS on admission,lower Graeb scores and external drainage were associated with good prognosis independently（P 〈 0.05）. Conclusions Primary cause for PIVH is not determinable and prognosis is acceptable commonly. Early external drainage operation has the ability to improve prognosis.