130例脑出血超早期的临床与CT分析

The Clinical and CT Scanning Analysis on 130 cascs of Cerebral Hemorrhage in the Super-early Stage

报告130例发病6小时内经 CT 证实的脑出血“超早期”临床特点与 CT特征,与83例发病6～72小时组比较,发现超早期组意识障碍重,脑疝发生率高。CT 扫描示血肿周围低密度水肿环形成者21例(16.2%),出现脑室受压移位等占位效应者83例(63.9%),提示上述两项特征在脑出血超早期即已出现。本文两组213例脑出血经急诊室抢救,24小时内病死率5.6%,成功率94.4%,这是国内对脑出血在急诊室24小时内病死率及成功率的首次报道。

This paper reports the clinical features and characteristics ofCT scanning in 130 patients with cerebral hemorrhage within 6hours.which is called super-early stage.We have found thatunconsciousness is more prominent and brain hernia is moreobvious in this group as compared with 83 patients with CHbetween 6-72 hrs.CT shows that there are 21 cases havingdeveloped the edema surrounding the hematoma(16.2%)and83 cases developed mass effect(63.9%)in these patients.which indicate the two abnormatities could be formed in thesuper-early stage.The survival rate is 94.4% among the totalpatients in these two groups under the active medical treatment.We conclude that the best way for the patients with CH is takingthem to hospital as quickly as possible.