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- Title
一组有或无CT 脑灌注" 点征"的自发性脑内出血患者临床效果观察.
- Authors
吴瑞; 刘胜武; 李海军; 王柳毅; 王乐
- Abstract
Objective: To observe the clinical curative effect in patients with spontaneous intracerebral hemorrhage (sICH) with or without CT cerebral perfusion dot sign. Methods: 100 patients with sICH treated in our hospital between May 2013 and May 2015 were selected. All patients received baseline CT cerebral perfusion examination. According to whether there was dot sign, the patients were divided into observation group (with dot sign) and control group (without dot sign), hi 24 hours, CT scan review was performed. The imaging findings and clinical results were compared between the two groups. The risk factors of poor prognosis (death) of patients with sICH were analyzed by multivariate Logistic analysis. Results: CT scan review showed that hematoma increased more than 6 mL and the relative value of increased hematoma was 33% in the observation group in 24 hours. Besides, the ratios in observation group were significantly higher than those in the control group (P<0.05); The incidence rate of hematoma progression and mortality rate in 3 months in the observation group (63.04%, 36.96%) was significantly higher than that in the control group (14.81%, 7.41%) (P<0.05). Logistic regression analysis found that the risk factors of poor prognosis of patients with sICH included baseline hematoma volume and dot sign. Conclusion: The hematoma progression and prognosis of patients with sICH with or without CT cerebral perfusion dot sign are different. Baseline hematoma volume and dot sign are risk factors of poor prognosis of patients with sICH.
- Publication
Progress in Modern Biomedicine, 2016, Vol 16, Issue 31, p6169
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2016.31.045