脑出血患者CT影像学特征与预后的相关性研究

Discussion of the correlation between CT imaging characteristics and prognosis of patients with cerebral hemorrhage

目的探讨脑出血患者CT影像学特征与预后的相关性。方法回顾性分析116例脑出血患者的临床资料，统计cT影像学特征与患者病死率的相关性。结果116例患者中死亡29例（25．0％），病死率随中线移位距离的加大而明显升高（r=0．9785，P〈0．05）、随血肿量的增多而明显升高（r=0．9895，P〈0．05）。脑出血破入脑室患者的病死率为35．5％，明显高于非破入脑室患者的22．8％（x2=3．81，P〈0．05）。结论幕上脑中线移位距离、血肿量多少、破人脑室与患者的病死率有一定的相关性。

Objective To study the correlation between CT imaging characteristics and prognosis of patients with cerebral hemorrhage. Methods CT imaging characteristics of 116 cerebral hemorrhage patients were analyzed, and the correlation between CT imaging characteristics of patients with cerebral hemorrhage and prognosis was stud- ied. Results 29 cases died,and the mortality was 25.0%. The mortality of patients was obviously higher along with the increasing of translocation distance of midline （ r = 0. 9785, P 〈 O. 05 ）. The mortality of patients was obviously higher along with the increasing of the hematoma （r =0.9895 ,P 〈0.05）. The mortality of patients who suffered from cerebral hemorrhage and breaking into ventricle was 35.5%, which was obviously higher than that of patients suffered from cerebral hemorrhage but not breaking into ventricle（ x2 = 3.81, P 〈 0.05 ）. Conclusion Translocation distance of midline, hematoma quantity, bleeding location and the mortality of patients have positive correlation.