高血压性脑出血患者预后因素分析  

Analysis of Prognostic Factors for Patients with Hypertensive Cerebral Hemorrhage

作　　者：杨春云[1] 黄艳[1] 丁晔[1] 罗海军[1] 周强[1] 

机构地区：[1]湖南省怀化铁路总公司医院,怀化418000

出　　处：《内科急危重症杂志》2003年第1期35-37,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的 :探讨高血压性脑出血预后的影响因素。方法 :分析 2 0 3例高血压性脑出血患者的临床资料 ,观察全身炎症反应综合征 (SIRS)、出血部位、出血量、Glasgow评分以及合并症五个因素对高血压性脑出血患者预后的影响。结果 :SIRS组的病死率明显高于非SIRS组 ,P <0 .0 1,而且在SIRS组中 ,阳性项数愈多 ,病死率愈高P <0 .0 1,不同部位出血的病死率差异显著 ,P <0 .0 1;不同出血量的病死率有显著差异 ,P <0 .0 1;Glasgow评分值愈低 ,病死率愈高 ,P <0 .0 1;合并症多者病死率较高 (P <0 .0 1)。结论 :SIRS、出血部位、出血量、Glasgow评分。Objective: To explore the prognostic factors for patients with hypertensive cerebral hemorrhage. Methods: The clinical data of 203 patients with hypertensive cerebral hemorrhage were analyzed. The role of systemic inflammatory response syndrome (SIRS), the site and volume of bleeding, Glasgow score and complicating diseases in the prognosis of patients with hypertensive cerebral hemorrhage were observed. Results: The death rate of SIRS group was much higher than those without SIRS (P< 0.01). In the SIRS group, the more positive item it has, the higher death rate will be (P< 0.01). There were differences between the sites of bleeding in death rate (P< 0.01). There were also significant differences between the volume of bleeding in death rate (P< 0.01). The low Glasgow score accompaniea with high death rate (P< 0.01). The death rate of patients complicated with other diseases was higher. Conclusion: SIRS, the site and volume of bleeding, Glasgow score and complicating diseases might be valuable clinical factors in predicting the prognosis for patients with hypertensive cerebral hemorrhage.

关 键 词：高血压性脑出血 预后 因素分析 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R743.2[医药卫生—临床医学]