摘要
目的探讨自发性丘脑出血(s TH)的临床特点、治疗方法及影响预后的相关因素。方法回顾性分析2015年11月～2017年4月收治的经颅脑CT证实为丘脑出血患者44例的临床资料。结果随访6个月,存活37例,死亡7例,其中死亡病例均为自动出院病人。按照日常生活能力量表评测,Ⅰ级20例,Ⅱ级9例,Ⅲ级4例,Ⅳ级2例,Ⅴ级2例,Ⅵ级7例。临床观察表明,s TH患者入院时的血压、GCS评分、血肿分型、血肿量、是否破入脑室及脑室铸型特点以及治疗方案均会对患者的预后有一定的影响。结论依据患者的具体病情特征制定个体化的治疗方案,可明显提高患者的预后及生存质量。
Objective To investigate the clinical characteristics,treatment and prognostic factors of spontaneous thalamic hemorrhage. Methods A retrospective analysis was made to the clinical data of 44 patients with thalamic hemorrhage confirmed by 2015. 11 ~ 2017. 4 in our department. Results After 6 months of follow-up,37 cases survived and 7 cases died( all of them were given up treatment). According to the activity of daily living scale,20 cases was Ⅰgrade,9 cases was Ⅱ grade,4 cases was Ⅲ grade,2 cases was Ⅳ grade,2 cases was Ⅴ grade,7 cases was Ⅵ grade. The blood pressure on admission,GCS score,CT brain hematoma type,intraventricular hematoma volume,intraventricular characteristics and treatment of the patients with spontaneous thalamic hemorrhage will have a certain impact on the prognosis of the patients. Conclusion According to the patient’s specific condition to work out an appropriate treatment plan can significantly improve the prognosis and the quality of life of patients.
作者
魏健
郭国财
范凌燕
WEI Jian;GUO Guocai;FAN Lingyan(Department of Neurosurgery,Weifang Hospital of Traditional Chinese Medicine,Weifang 261041,China;Department of Neurology,Weifang People's Hospital)
出处
《潍坊医学院学报》
2018年第6期473-475,共3页
Acta Academiae Medicinae Weifang
关键词
丘脑出血
分型
临床特征
预后
Thalamus hemorrhage
Classification
Clinical features
Prognosis
