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目的观察高血压性脑出血破入脑室前后的临床分型与预后的关系。方法临床３９例高血压出血破入脑室患者，３４例经ＣＴ证明实，５例经手术证实，并且根据出血量的多少，血肿破入脑室后是否凝固，有否占位效应，是否形成梗阻性脑积水等，将其分成六型。结果Ⅰ～Ⅲ型患者预后不良，Ⅳ～Ⅵ型预后良好。结论高血压脑出血破入脑室的预后主要取决于：（１）有无脑实质内血肿扩大和血肿破溃过程造成的破坏；（２）有无血肿破入脑室形成血块（占位）效应；（３）有无发生阻塞性脑积水，使颅内压增高。
Objective To observe the relationship between clinical classification and prognosis of hypertensive intracerebral hemorrhage (ICH) before and after rupture into ventricles. Methods Thirty-nine patients with hypertensive hemorrhage who had penetrated into the ventricle were enrolled in this study. 34 cases were confirmed by CT and 5 cases were confirmed by operation. According to the amount of bleeding, whether the hematoma was solidified after penetrating into the ventricles, whether occupying effect and obstructive Hydrocephalus, etc., will be divided into six types. The results of type Ⅰ ~ Ⅲ patients with poor prognosis, Ⅳ ~ Ⅵ type of prognosis is good. Conclusion The prognosis of hypertensive intracerebral hemorrhage depends mainly on: (1) the presence or absence of intracerebral hematoma expansion and hematoma rupture caused by the destruction; (2) whether hematoma breaks into the ventricle to form a clot (occupying) effect; (3) the occurrence of obstructive hydrocephalus, increased intracranial pressure.