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目的:探讨脑出血(intracerebral hemorrhage ICH)不同临床特点对预后的影响。方法:分析227例ICH患者年龄、性别、高血压是否治疗及是否继发脑室/蛛网膜下腔出血对预后的影响。结果:不同年龄组间预后差异显著,不同性别组间预后无显著性差异。ICH前高血压经常性服药治疗组预后优于不治疗组;ICH继发脑室/蛛网膜下腔出血组预后不良,病死率高。结论:不同年龄组、病前高血压是否经常性治疗及是否继发脑室/蛛网膜下腔出血对ICH预后影响显著,积极治疗高血压可改善ICH的预后。
Objective: To investigate the effect of different clinical features of intracerebral hemorrhage (ICH) on prognosis. Methods: The prognosis of 227 ICH patients with age, sex, hypertension and secondary ventricular / subarachnoid hemorrhage were analyzed. Results: There were significant differences in prognosis between different age groups, with no significant difference between different sex groups. The prognosis of ICH patients with hypertension before treatment was better than that of non-ICH patients. ICH secondary to ventricular / subarachnoid hemorrhage had poor prognosis and high mortality. CONCLUSION: Whether ICH is recurrent or not and ICH prognosis is significantly different in different age groups, aggressive treatment of hypertension can improve ICH prognosis.