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首页> 外文期刊>Neurological Research: An Interdisciplinary Quarterly Journal >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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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：在126例患者中，在发病4小时内通过计算机断层扫描（CT）诊断出自发性ICH。 24小时后进行重复CT检查以发现血肿扩大。通过首先检查可能的危险因素与早期血肿进展之间的相关性，然后使用多元逐步回归进行验证，获得了回归方程。结果：自发性ICH后早期血肿扩大的发生率为25.4％，主要预后指标为CT血肿不均，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上特征性的“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后早期血肿扩大有明确的预后指标，提示血肿不均匀性对预测ICH进展具有重要意义，我们发现并定义了“血肿扩大边界”，即早期血肿扩大的影像学特征。

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