高血压脑出血患者早期血肿扩大的临床和影像学分析  

Clinical and imageological analysis of early hematoma enlargement in hypertensive intracerebral hemorrhage

作　　者：张鹰[1] 邱荣佳[1] 罗淼熙 甘永庆[1] 梁武全[1] ZHANG Ying;QIU Rong-jia;LUO Miao-xi;GAN Yong-qing;LIANG Wu-quan(Department of Neurosurgery,Xinyi People＇s Hospital,Xinyi 525300,China)

机构地区：[1]广东省信宜市人民医院神经外科,广东信宜525300

出　　处：《广东医科大学学报》2018年第1期73-75,共3页Journal of Guangdong Medical University

摘　　要：目的总结高血压脑出血患者早期血肿扩大的临床特点和CT表现。方法收集73例原发性高血压脑出血患者,分析血肿扩大与非扩大者的临床和影像学表现。结果 73例中血肿扩大12例(16.4%),3例治愈,7例好转,2例死亡;血肿非扩大61例(83.6%),28例治愈,33例好转。血肿扩大组入院时和治疗后血压均显著高于非血肿扩大组(P<0.01)。CT显示血肿扩大组血肿密度不均匀,而非血肿扩大组血肿密度多数均匀。结论首诊CT显示血肿密度不均匀,提示血肿扩大可能性较大。Objective To summarize the clinical and computed tomography features of early hematoma enlargement in hypertensive intracerebral hemorrhage（HICH）. MethodsSeventy-three patients with primary HICH were collected, and clinical and imageological features were compared between hematoma enlargement and non-hematoma enlargement cases. Results Of 12 patients（16.4%） with hematoma enlargement, 3 healed, 7 improved, and 2 died; of 61 cases（83.6%） of nonhematoma enlargement, 28 healed and 33 improved. Blood pressure at admission and after treatment was higher in hematoma enlargement group than in non-hematoma enlargement group（P〈0.01）. CT showed that hematoma density is nonuniform in hematoma enlargement group but usually uniform in non-hematoma enlargement group. Conclusion The nonuniform hematoma density of initial CT scan suggests the possibility of hematoma expansion.

关 键 词：脑出血 高血压 血肿 CT 

分 类 号：R743.34[医药卫生—神经病学与精神病学]