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[高血压患者的脑出血:诊断、治疗与预后]

[Intracerebral hemorrhage in hypertensives: diagnosis, therapy and prognosis].

作者信息

Gogolák I, Bartko D, Sabaka Z, Koník I, Boruta P

机构信息

I. neurologická klinika FN-LF UK Bratislava.

出版信息

Cesk Neurol Neurochir. 1990 May;53(3):164-73.

PMID:2369776
Abstract

The authors analyzed 98 cases of intracerebral haemorrhage in hypertonic subjects from the aspect of the clinical course, CT findings and therapeutic results. Thirty-seven patients were treated by surgery and 61 had medicamentous treatment. The acute mortality rate in operated patients was 57% in non-operated ones 30%. The patients with haemorrhage in the putamen formed the majority of the group and had a higher mortality rate than patients with other sites of haemorrhage. The state of consciousness on admission and the size of haematomas influenced in a significant way the acute mortality rate of patients. Fifty-nine patients were followed up for an average period of 34 months. Of those 19% died and 54% attained a fair restoration of the clinical condition. Only 5% returned to work.

摘要

作者从临床病程、CT表现及治疗结果等方面分析了98例高血压性脑出血患者。37例接受手术治疗,61例接受药物治疗。手术患者的急性死亡率为57%,非手术患者为30%。壳核出血患者占该组的大多数,其死亡率高于其他出血部位的患者。入院时的意识状态和血肿大小对患者的急性死亡率有显著影响。59例患者平均随访34个月。其中19%死亡,54%临床状况恢复良好。仅有5%恢复工作。

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