高血压脑出血早期血肿扩大风险因素分析

Correlation between CT manifestations of hypertensive intracerebral hemorrhage,first PHE volume and early hematoma expansion

目的:探讨高血压脑出血(HICH)早期血肿扩大风险因素。方法:回顾性分析280例HICH患者临床资料,根据血肿情况将患者分为血肿未扩大组及血肿扩大组,分析早期血肿扩大风险因素。结果:首诊头颅CT距离发病时间短、凝血机制障碍、CT征象混合征、血肿部位在基底节区、血肿形态不规则是影响HICH患者脑血肿扩大的独立危险因素,以上因素在HICH患者脑血肿扩大中预测预测敏感度67.50%、特异度为78.75%。结论:早期血肿性质与高血压脑出血血肿扩大风险有关,临床需加强关注。

Objective:To explore the risk factors of hematoma enlargement in the early stage of hypertensive intracerebral hemorrhage(HICH).Methods:The general clinical data of 280 patients with HICHwereretrospectivelyanalyzed,andthe patients were divided intotwo groupsaccording to the hematomacondition:non-enlarged hematoma group and enlarged hematoma group,and the riskfactors of early enlarged hematomawere analyzed.Results:The independent risk factors for the enlargement of cerebral hematoma in patients with HICH were the short time from the first head CT,the coagulation mechanism disorder,the mixed CT signs,the location of hematoma in the basal ganglia region and the irregular shape of hematoma.The sensitivity and specificity of the above factors were 67.50%and 78.75%in the prediction of cerebral hematoma enlargement in patients with HICH.Conclusion:The early hematoma is related to the risk of hypertensive intracerebral hemorrhage.