脑出血24h内血肿体积缩小及其与预后的关系  

Reduced Hematoma Volume and Its Relationship with Prognosis within 24h after Intracerebral Hemorrhage

作　　者：郭艺华[1] 宋志彬[1] 郑国俊[1] 梁海毛[1] 周艳玲[1] 

机构地区：[1]广东省中山市南方医科大学附属小榄人民医院内三科,528415

出　　处：《实用心脑肺血管病杂志》2010年第6期718-719,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨脑出血24h内血肿体积缩小CT影像学特征、形成原因及其与预后的关系。方法回顾性分析基底核区小量脑出血(≤20ml)患者105例,根据24h内复查CT血肿体积变化将患者分为3组:缩小组16例、扩大组30例、对照组(无变化组)59例,对病程中不同时间各组血肿CT平均密度、脑水肿范围、NIHSS评分变化进行统计学分析。结果 24h内复查CT,血肿缩小时缩小组的CT平均密度显著增高,周边出现水肿带;第11～14天复查CT,脑水肿范围依次为扩大组>缩小组>对照组,NIHSS评分为扩大组>缩小组>对照组。结论小量脑出血24h内血肿体积缩小常合并脑水肿范围扩大,并降低近期神经功能评分。Objective To investigate reduced hematoma volume and its relationship with prognosis within 24h after intracerebral hemorrhage.Methods One hundred five105 cases with small basal ganglia hemorrhage（20ml）,according to brain CT change within 24 h,were divided into 3 groups：hemotoma narrow group（HA group,16 casees）,hemotoma enlargement group（HE group,30 cases）,control group（no changed,59 cases）.We comparatively analyzed the average CT density of hematoma,the area of cerebral edema and NIHSS score in each group at different times.Results To recheck CT within 24h,the average CT density of reduced group was significantly increased and peripheral edema occurred when hematoma reduced.In 11～14d,we found that the range of cerebral edema was expanded group narrow group control group.NIHSS score waa expansion group narrow group reduced group.Conclusion Hematoma diminished but often volume expanded and lowered NIHSS score after a small amount of incerebral hemorrhage within 24h.

关 键 词：脑出血 CT 血肿缩小 

分 类 号：R743.3[医药卫生—神经病学与精神病学]