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本文报告经CT证实的高血压性脑出血破入脑室者32例,占同期脑出血的52.46％。从临床资料及CT所见,对脑出血合并脑室出血的预后进行了研究,提出影响预后的主要因素是脑室内血肿铸型,血肿大小超过3×3cm、血肿从Ⅲ、Ⅳ脑室穿破、来院时的意识水平和舒张压超过120mmHg及年龄在70岁以上者,预后差;若无以上情况,经过积极治疗预后可以是良好的。本文并讨论了内科治疗与手术治疗的适应症。
This report reported by CT confirmed hypertensive intracerebral hemorrhage in 32 cases, accounting for 52.46% of cerebral hemorrhage over the same period. From clinical data and CT findings, the prognosis of cerebral hemorrhage complicated with intraventricular hemorrhage was studied. The main factors influencing the prognosis were as follows: intracerebral hematoma model with hematoma exceeding 3 × 3cm in size, hematoma penetrating from Ⅲ, Ⅳ ventricle, When the level of consciousness and diastolic blood pressure over 120mmHg and age over 70 years of age, the prognosis is poor; if not the above situation, after aggressive treatment of prognosis can be good. This article also discusses the indications of medical treatment and surgical treatment.