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卒中资料库(SDB)中,脑出血(intracerebral hemorrhage,ICH)比其它任何卒中亚型具有更高的致命性和严重缺陷,ICH患者常有进行性神经功能衰退(Neurologic deterioration,ND),对ND发生频度,时间及与之相关的因素尚不明确,作者对此进行了前瞻性研究。 病例选择标准:(1)幕上ICH;(2)格拉斯哥昏迷评分(GCS)≥8;(3)卒中后24小时内进行检查者。除外因动脉瘤或AVM所致的出血及多发性出血、原发性脑室出血患者。对神经功能缺陷分别进行SDB无力评分和SDB感觉评分,通过CT计算出血量。确定ND的标准;下述诸项中至少1项:(1)GCS降低2分或以上;(2)SDB无力评分升高1分或以上;(3)发生新的神经功能缺陷(如偏盲、失
In stroke database (SDB), intracerebral hemorrhage (ICH) is more fatal and severe than any other stroke subtype. ICH patients often have progressive neurologic deterioration (ND) Occurrence frequency, time and related factors are not clear, the author conducted a prospective study. Case selection criteria: (1) supratentorial ICH; (2) Glasgow Coma Scale (GCS) ≥ 8; and (3) examination within 24 hours after stroke. Except for aneurysms or AVM-induced bleeding and multiple bleeds, patients with primary ventricular hemorrhage. SDB score and SDB sensory score were respectively evaluated for neurological deficits, and blood volume was calculated by CT. Determine the ND standard; at least one of the following: (1) GCS decreased by 2 points or more; (2) SDB weakness score increased by 1 point or more; (3) new neurological deficits (such as partial blindness, Lost