脑出血患者早期神经功能恶化的预测因素

Predictive factors for early neurological deterioration in patients with intracerebral hemorrhage

自发性脑出血是一种高死亡率和高致残率的神经系统疾病,早期神经功能恶化是评估患者转归的关键因素之一。尽早识别脑出血患者早期神经功能恶化并进行有效干预对其治疗和转归具有重要意义。文章从血液标志物、血肿特征、血压变异性以及影像学征象等方面,综述了脑出血患者早期神经功能恶化的预测因素。

Spontaneous intracerebral hemorrhage(ICH)is a neurological disease with high mortality and morbidity rates,and early neurological deterioration(END)is one of the key factors in evaluating outcome of patients.Early identification and effective intervention of END in patients with ICH is of great significance for their treatment and prognosis.This article reviews the predictive factors for END in patients with ICH from the perspectives of blood markers,hematoma characteristics,blood pressure variability,and imaging signs.