Hanel Ricardo A, Xavier Andrew R, Mohammad Yousef, Kirmani Jawad F, Yahia Abutaher M, Qureshi Adnan I
Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, USA.
Neurol Res. 2002;24 Suppl 1:S58-62. doi: 10.1179/016164102101200041.
Intracerebral hemorrhage and subarachnoid hemorrhage account for almost 20% of all stroke cases. Both forms of stroke are associated with a high morbidity and mortality rate. The incidence of intracerebral hemorrhage increases with the age and certain ethnical groups are more affected. Subarachnoid hemorrhage tends to occur in a much younger population than other types of strokes. Outcome predictors for intracerebral and subarachnoid hemorrhage have been extensively discussed in the literature. Based on the current literature, we review the morbidity and mortality rates and predictors of outcome for these two life-threatening diseases. Initial Glasgow Coma Scale (GCS) score, hematoma volume, and presence of ventricular blood are the most prominent predictors of outcome following intracerebral hemorrhage. Age and initial severity of neurologic deficits on presentation, measured by GCS, Hunt and Hess Scale or the World Federation of Neurological Surgeons Scale, are the most important predictors of outcome following subarachnoid hemorrhage.
脑出血和蛛网膜下腔出血占所有中风病例的近20%。这两种中风形式都与高发病率和死亡率相关。脑出血的发病率随年龄增长而增加,某些种族群体受影响更大。蛛网膜下腔出血往往比其他类型的中风发生在更年轻的人群中。脑出血和蛛网膜下腔出血的预后预测因素在文献中已有广泛讨论。基于当前文献,我们回顾这两种危及生命疾病的发病率、死亡率及预后预测因素。初始格拉斯哥昏迷量表(GCS)评分、血肿体积和脑室积血是脑出血后预后的最显著预测因素。年龄以及就诊时神经功能缺损的初始严重程度(通过GCS、Hunt和Hess量表或世界神经外科医师联合会量表测量)是蛛网膜下腔出血后预后的最重要预测因素。