Mitra D, Das S K, Ganguly P K, Roy T N, Maity B, Munshi A K
Dept of Neuromedicine, Bangur Inst of Neurology, Calcutta.
J Assoc Physicians India. 1995 Sep;43(9):602-4.
In a prospective study, the prognostic value of clinical characteristics and CT scan findings in 50 patients of intracerebral haemorrhage (ICH) has been examined. Follow up has been done over 6 months period. Each patient has been individually followed up for 8 weeks. At the end of the follow up period 34% of the patients died, 36% were dependent on outside help for daily living while 30% were capable of independent existence. Age of more than 60 yrs, Glasgow Coma Scale (GCS) Score of 6 or less (in a modified Scale of 10) at the time of admission, ICH volume greater than 30 ml., midline shift in CT scan of more than 3 mm and presence of intraventricular haemorrhage (IVH) and hydrocephalus had an adverse impact on outcome. Young age, GCS score of more than 8, ICH volume of less than 20 ml, presence of lobar haemorrhage and absence of IVH/hydrocephalus were associated with relatively favourable outcome.
在一项前瞻性研究中，对50例脑出血（ICH）患者的临床特征和CT扫描结果的预后价值进行了研究。随访期为6个月。每位患者均进行了为期8周的个体随访。随访期末，34%的患者死亡，36%的患者日常生活需要外部帮助，30%的患者能够独立生活。年龄超过60岁、入院时格拉斯哥昏迷量表（GCS）评分在修改后的10分制中为6分或更低、脑出血体积大于30 ml、CT扫描中线移位超过3 mm以及存在脑室内出血（IVH）和脑积水对预后有不利影响。年轻、GCS评分大于8、脑出血体积小于20 ml、存在脑叶出血以及不存在IVH/脑积水与相对较好的预后相关。
