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目的研究脑出血急性期非手术治疗的预后因素。方法回顾性研究105例非手术治疗的脑出血急性期患者的预后情况。结果死亡组严重昏迷、高热(≥39.1℃)、平均动脉压(>145mmHg)、血液破入脑室及蛛网膜下腔出血患者的发生率明显高于存活组(P<0.1或 P<0.05)。死亡组中脑出血量、收缩压、脉压、血清 Ca~(2+)、AG、ALT、AST、LDH、CK、HBD、糖、Cr 和 TG的均值亦明显高于存活组(P<0.01或 P<0.05)。结论脑出血合并严重昏迷、高热、高血压、脑出血量大和破入脑室、蛛网膜下腔出血、血肿扩大及血液生化异常改变的患者预后不佳。
Objective To study the prognostic factors of non-surgical treatment of acute cerebral hemorrhage. Methods A retrospective study of 105 cases of non-surgical treatment of patients with acute cerebral hemorrhage in patients with prognosis. Results The incidence of severe coma, high fever (≥39.1 ℃), mean arterial pressure (> 145mmHg), ventricular rupture and subarachnoid hemorrhage in the death group was significantly higher than that in the survival group (P <0.1 or P <0.05). The mean values of cerebral hemorrhage, systolic blood pressure, pulse pressure, serum Ca2 +, AG, ALT, AST, LDH, CK, HBD, glucose, Cr and TG in the death group were also significantly higher than those in the surviving group Or P <0.05). Conclusions ICH patients with severe coma, high fever, high blood pressure, large amount of cerebral hemorrhage and poor prognosis in patients with ruptured ventricular, subarachnoid hemorrhage, hematoma expansion and abnormal blood biochemical changes.