摘要
目的分析首次CT检查对高血压脑出血患者血肿扩大的预测价值。方法选取2013年1月—2014年6月隆化县医院收治的80例高血压脑出血患者,均于入院6 h内行首次颅脑CT检查及CT灌注成像,记录其脑出血部位、出血量及血肿形状;入院治疗2周后再次行CT检查,分析首次CT检查对血肿扩大的预测价值。结果首次CT检查结果 :出血量<30 ml者56例,出血量≥30 ml者24例;基底核区出血35例,丘脑出血28例,脑叶出血10例,小脑出血7例;CT灌注结果 :不规则形血肿51例,肾形血肿15例,圆形或类圆形血肿14例。血肿扩大情况:不同出血部位及出血量患者血肿扩大发生率比较,差异无统计学意义(P>0.05);不规则形血肿患者血肿扩大发生率高于肾形、圆形或类圆形血肿患者(P<0.05)。结论首次CT检查可准确评估高血压脑出血患者出血部位、出血量及血肿形状,对血肿扩大有一定的预测价值。
Objective To analyze the predictive value of first CT scan on hematoma enlargement in patients with hypertensive cerebral hemorrhage. Methods From January 2013 to June 2014, a total of 80 patients with hypertensive cerebral hemorrhage were selected in Longhua County Hospital, all of them received first CT scan and CT perfusion imaging within 6 hours after admission, and then recorded the hemorrhage positions, hemorrhage amounts and hematoma shapes; all of the patients received second CT scan to observe the incidence of hematoma enlargement after 2 weeks of admission. Results Of the 80 patients, 56 patients＇ hemorrhage amounts were less than 30 ml, 24 patients＇ hemorrhage amounts were over or equal 30 ml; 35 patients＇hemorrhage positions were basal nucleus region, 28 patients＇ hemorrhage positions were thalamus, 10 patients＇ hemorrhage positions were cerebral lobe, 7 patients＇ hemorrhage positions were cerebellum; 51 patients＇ hematoma shapes were irregular, 15 patients＇ hematoma shapes were kidney like, 14 patients＇ hematoma shapes were rounded or almost rounded. No statistically significant differences of incidence of hematoma enlargement in patients with different hemorrhage positions or hemorrhage amounts （ P 〉 0. 05 ）, the incidence of hematoma enlargement of patients with irregular hematoma shapes was statistically significantly higher than those patients with kidney like hematoma shapes and rounded or almost rounded hematoma shapes, respectively （ P 〈 0. 05 ）. Conclusion First CT scan can exactly evaluate the hemorrhage positions, hemorrhage amounts and hematoma shapes of patients with hypertensive cerebral hemorrhage, has a good predictive value on hematoma enlargement.
出处
《实用心脑肺血管病杂志》
2015年第4期93-95,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
承德市科技局项目成果(2014058)
关键词
颅内出血
高血压性
体层摄影术
螺旋计算机
血肿
Intracranial hemorrhage, hypertensive
Tomography, spiral computed
Hematoma
