多因素量化预测高血压脑出血预后

Quantification Forecasting Prognosis of Hypertensive Intracerebral Hemorrhage

目的 研究量化多种因素预测高血压脑出血预后的可能性。方法 回顾性分析 1995年以来 15 6例高血压脑出血病例 ,量化多因素 ,从入院时临床表现和放射学结果来评价预后。结果 经统计学处理 ,发现GCS、呼吸和瞳孔的改变、是否合并其他系统疾病、出血的部位和多少、出血后的占位效应、脑室内的情况与高血压脑出血的预后密切相关。结论 综合分析多种因素并量化后 ,能前瞻性预测高血压脑出血病人的预后 ,指导选择合理的治疗手段。

Objective To study the possibility of quantifying the factors and evaluating prognosis of HIH. Methods The data of 156 HIH patients from 1995 were analyzed retrospectively and evaluate prognosis according to the clinical symptoms and the results of radiology. Results After a statistically analysis we can conclude that GCS, the change of breathing and pupil, whether with complications in other system or not, the position and amount of bleeding, post-hemorrhagic space occupying effects, Ventricles of brain were important prognostic factors. Conclusions We can quantify the factors and evaluate the prognosis of HIH and select rational therapeutic methods.