影响高血压脑出血患者预后因素的探讨

A study on factors that influence the prognosis of patients with hypertensive cerebral hemorrhage

目的 探讨影响高血压脑出血患者预后的因素。 方法 通过对 393例高血压脑出血患者的临床、头颅影像学检查、治疗方法、一些人为因素与预后的关系进行分析对比和医学统计处理。 结果 年龄、血压、意识、出血量、出血部位、是否破入脑室及破入脑室的范围和程度以及内、外科治疗等因素均与高血压脑出血破入脑室患者的预后有关。高龄、严重高血压、昏迷、大量出血、脑干出血、大范围破入脑室和脑室铸形患者预后不良。 结论 高血压脑出血的预后与多种因素有关。

Purpose To investigate the factors that influence the prognosis of patients with hypertensive cerebral hemorrhage. Method The relation between the clinical complication, skull imaging information(CT or MRI), clinical complications, therapeutic methods, artificial factors and the prognosis for 393 cases with hypertensive cerebral hemorrhage was analyzed, contrasted, and medical-statistically managed. Result Massive bleeding, brain stem bleeding, bleeding rupturing into most part of ventricles, severe clinical complication, agedness, unsuitable therapeutic method, and unsuitable artificial factors et al, can increase death rate significantly. All of the above factors can lead to bad prognosis. Conclusion A lot of factors influence the prognosis of patients with hypertensive cerebral hemorrhage.