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首页> 外文期刊>Neurological Research >Imaging and clinical prognostic indicators for early hematoma enlargement after spontaneous intracerebral hemorrhage
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Imaging and clinical prognostic indicators for early hematoma enlargement after spontaneous intracerebral hemorrhage

机译：自发性脑出血后早期血肿扩大的影像学和临床预后指标

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摘要

Objective: To analyse the imaging and clinical prognostic indicators for early hematoma enlargement after spontaneous intracerebral hemorrhage (ICH).Methods: In 126 patients, spontaneous ICH was diagnosed by computed tomography (CT) within 4 hours of disease onset. Repeat CT was performed after 24 hours to detect the development of hematoma enlargement. A regression equation was obtained by first examining the significance of correlations between possible risk factors and early hematoma progression, followed by verification using multivariate stepwise regression.Results: The incidence of early hematoma enlargement after spontaneous ICH was 25.4%, and the significant prognostic indicators were CT hematoma inhomogeneity, degree of consciousness impairment on admission and time between disease onset and initial CT. In addition, the characteristic 'hematoma enlargement border' on CT has important prognostic value in early hematoma enlargement.Conclusion: Clear prognostic indicators exist for early hematoma enlargement after spontaneous ICH, suggesting that hematoma inhomogeneity has important implications for predicting ICH progression, and we discovered as well as defined the 'hematoma enlargement border', an imaging characteristic of early hematoma enlargement.
机译：目的：分析自发性脑出血（ICH）后早期血肿扩大的影像学和临床预后指标。方法：对126例患者，在发病4小时内通过计算机断层扫描（CT）诊断为自发性ICH。 24小时后进行重复CT检查以发现血肿扩大。首先检查可能的危险因素与早期血肿进展之间的相关性，然后通过多元逐步回归进行验证，得到回归方程。结果：自发性ICH后早期血肿扩大的发生率为25.4％，重要的预后指标为CT血肿不均匀，入院时意识障碍程度以及疾病发作与初次CT之间的时间。此外，CT上的特征性“血肿扩大边界”在早期血肿扩大中具有重要的预后价值。结论：自发性ICH后早期血肿扩大的明确预后指标存在，表明血肿不均一性对预测ICH进程具有重要意义，我们发现以及定义的“血肿扩大边界”，即早期血肿扩大的影像学特征。

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  • 来源
    《Neurological Research》 |2009年第4期|362-366|共5页
  • 作者

    Ji Nan; Lu Jing Jing; Zhao Yuan Li; Wang Shuo; Zhao Ji Zong;

  • 作者单位

    Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing, China;

    Department of Neurology, Tiantan Hospital, Capital Medical University, Beijing, China;

    Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing, China;

    Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing, China;

    Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing, China;

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