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为了准确地评估高血压脑出血病人预后以及进一步探讨其影响因素,我们设计了GCS、CT及全身情况联合评分法,通过对两所医院321例住院病人30例预后的前瞻性观测,认为本方法将诸因素作为整体量化地评估预后是科学的。30天病死率为25.5%(82/321),其影响因素为年龄、GCS分值、出血部位、大小、中线移位、体温、舒张压、血象、消化道出血及全身脏器功能等。本方法为高血压脑出血治疗及预后的研究提供了较为符合统计学要求的对比条件。
In order to accurately evaluate the prognosis of patients with hypertensive intracerebral hemorrhage and to further explore its influencing factors, we designed a combined score of GCS, CT and systemic conditions. By prospective observation of 30 patients with 321 inpatients in the two hospitals, It is scientific to assess the prognosis quantitatively as a whole as a whole. The 30-day mortality was 25.5% (82/321). The influencing factors were age, GCS score, bleeding site, size, median shift, body temperature, diastolic blood pressure, blood, gastrointestinal bleeding and systemic organ function . This method provides a comparative condition that is more consistent with the statistical requirements for the study of treatment and prognosis of hypertensive intracerebral hemorrhage.