入院血压对蛛网膜下腔出血患者的预后有何价值：急诊科经验。
Has admission blood pressure any prognostic value in patients with subarachnoid hemorrhage: an emergency department experience.
机构信息
Department of Emergency Medicine, School of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
出版信息
J Clin Hypertens (Greenwich). 2013 Oct;15(10):737-41. doi: 10.1111/jch.12177. Epub 2013 Aug 14.
Abstract
Hypertension is a well-known risk factor for the development and rupture of cerebral aneurysms. The authors conducted a study to investigate the prognostic value of admission blood pressure (BP) on prognosis in patients with subarachnoid hemorrhage (SAH). Two hundred patients with SAH were divided into two groups according to Hunt Hess score (good prognosis: 1 to 3, and poor prognosis: 4 and 5) and according to death in hospital (surveyed and died). The prognostic factors of SAH and BP changes according to Hunt Hess scores in the acute stages of the event were evaluated. Admission mean arterial BP values of the patients who died in hospital were significantly lower than in the patients who were surveyed (P=.026). The admission mean arterial BP values were found to be lower in the poor prognostic patients (Hunt Hess score of 4 and 5) (P<.001). Decreased admission BP values were found to be associated with poor prognosis and mortality.
摘要
高血压是导致脑动脉瘤发生和破裂的一个已知危险因素。作者进行了一项研究，旨在探讨蛛网膜下腔出血（SAH）患者入院血压（BP）对预后的预测价值。根据 Hunt-Hess 评分（预后良好：1-3 分，预后不良：4 和 5 分）和住院期间死亡情况（调查并死亡），将 200 例 SAH 患者分为两组。评估事件急性期根据 Hunt-Hess 评分的 SAH 和 BP 变化的预后因素。住院期间死亡患者的入院平均动脉 BP 值明显低于接受调查患者（P=.026）。预后不良患者（Hunt-Hess 评分 4 和 5）的入院平均动脉 BP 值较低（P<.001）。入院 BP 值降低与预后不良和死亡率相关。
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