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本文前瞻性研究157例自发性幕上脑实质出血(ICH)病人近期及远期预后,并与脑梗塞(CI)对照组预后进行比较。采用多项回归方法分析影响预后的相关因素。157例 ICH 病人,96%在病后24h 入院,76%在病后3h 入院。ICH 左侧79例,右侧78例,脑叶出血组(L)60例,基底节出血组(B)97例,两组间年龄、血肿量、高血压、口服抗凝剂(AC)等均无差别。入院时头痛 L 组52%,多于 B 组28%(P<0.01);13例(8%)早期痛性发作中 L 组9例(15%)多于 B组4例(4%)(P<0.05)。L 组未见出血破入全部4
This prospective study of 157 cases of spontaneous supratentorial intracerebral hemorrhage (ICH) patients with short-term and long-term prognosis, and cerebral infarction (CI) control group compared the prognosis. A number of regression methods were used to analyze the factors that influence the prognosis. Of the 157 ICH patients, 96% were admitted to hospital 24 hours after illness and 76% were admitted to hospital after 3 hours. ICH left 79 cases, right 78 cases, lobar hemorrhage (L) 60 cases, basal ganglia hemorrhage (B) 97 cases, between the two groups of age, hematoma, hypertension, oral anticoagulants (AC) No difference. Headache in admission was 52% in group L compared with 28% in group B (P <0.01); in 13 cases (8%) of early painful attacks, 9 (15%) were more in group L than in group B (4%) P <0.05). L group no bleeding broke into all 4