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我科1981年曾进行过影响自发性蛛网膜下腔出血(SAH)预后因素分析并初步拟定出估价近期预后的计量方法。本文对1980年以来324例SAH影响预后因素再度进行分析。结果表明意识障碍、瞳孔异常、体温、血压、脑压、血白细胞和脑脊液红细胞增高与预后明显相关。此外,年长、抽搐、脑局限体征、脑动脉造影阳性等都与预后有关。验证说明原计量评分标准制定合理,对近期预后估计:死亡组正确率66.67%,治愈组正确率87.27%,故有临床参考价值。
Our department had carried out in 1981 had a prognosis of spontaneous subarachnoid hemorrhage (SAH) analysis of factors and initially proposed to assess the recent prognosis of the measurement method. This article re-analyzes 324 prognostic factors affecting SAH since 1980. The results showed that disturbance of consciousness, pupillary abnormalities, body temperature, blood pressure, intracranial pressure, erythrocyte elevation in white blood cells and cerebrospinal fluid were significantly correlated with prognosis. In addition, older, convulsions, signs of cerebral cortex, positive cerebral angiography and so on and the prognosis. Verification shows that the original metrological scoring standard is reasonable, the recent prognosis is estimated: the correct rate of 66.67% death group, the correct rate of 87.27% cure group, it has clinical reference value.