脑出血继续出血重复CT对照观察  

Repeated CT investigation on continuous bleeding of intracerebral hemorrhage

作　　者：褚晓凡[1] 董加政[1] 李富康[1] 马可夫[1] 

机构地区：[1]暨南大学医学院附属二院神经内科,广东深圳518020

出　　处：《中风与神经疾病杂志》2001年第5期282-283,共2页Journal of Apoplexy and Nervous Diseases

摘　　要：目的　证实脑出血存在继续出血的现象 ,对产生继续出血的可能因素进行探讨。方法　对 19例经头部 CT证实脑出血的病例 2 4 h后复查 CT,采用多田氏公式计算血肿体积。继续出血的判断标准 :血肿净增比例≥ 3 0 %以上。结果　 19例脑出血患者入院后均有病情加重的过程 ,复查头部 CT证实有继续出血的现象 ,血肿净体积为 5 .5 m l～ 77m l,净增比例为 4 3 %～ 4 2 8%。血肿形态不规则 ,长期饮酒、肝肾功能异常者继续出血发生率较高。结论　脑出血继续出血是导致患者病情加重的重要因素之一 ,因此对可能发生继续出血的患者应尽早复查 CT,并采取积极的治疗措施。Objective To clarify the phenomenon of continuous bleeding exsited in intracerebral hemorrhagenic patients,and to discuss the related factors. Methods Of 19 cases with CT-verified intracerebral hemorrhage verified by CT were reexamined with CT-scan 24h after the onset,and the volumes of hematoma were calculated with this formula:V=1/2×L×S×Layers. The criteria of continuous bleeding are:Repeated CT investigation verified the pure increased volume≥ 30% than the initial hematoma large. Results All the patients of 19 cases became more serious after the admission. And repeated CT-scans showed continous bleeding. The volume of hematoma enlargement were irregular. These patients accompanied with a high rate of long-term alcohol addiction and abnormal functions of hepar and kidney. Conclusion Continuous bleeding of intracerebral hemorrhage is one of the important factors that worsen the clinical symtoms. It is very useful to repeat CT-scan and apply active treatmeats to these cases.

关 键 词：脑出血 血肿增大 CT 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]