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目的 探讨脑出血继发性脑室出血的临床、CT与预后。方法 对 83例患者的临床资料、CT表现及病死率进行分析。结果 >70岁组、发病时血压急骤升高、中 -重度昏迷、血肿量 >5 0ml,CT显示Ⅲ、Ⅳ脑室受累、环池、四叠体池改变且并发上消化道出血时病死率均高 (P <0 .0 0 1) ,血肿量 >90ml及全脑室铸型者病死率均为 10 0 %。性别、合并糖尿病、出血部位、并发蛛网膜下腔出血的病死率无统计学意义。结论 患者年龄、发病时头痛、血压急骤升高、意识状态、Ⅲ、Ⅳ脑室受累、环池改变及血肿量与预后有关 ,最佳治疗方案、手术方式的选择可以降低病死率。
Objective To investigate the clinical, CT and prognosis of cerebral hemorrhage secondary ventricular hemorrhage. Methods 83 cases of clinical data, CT findings and mortality were analyzed. Results The blood pressure at the age of 70 years increased sharply, moderate to severe coma and hematoma volume were more than 50ml. CT showed the involvement of ventricles in Ⅲ and Ⅳ, and the mortality of peri-annular pool and quadruple pool changed with upper gastrointestinal bleeding High (P <0.001), hematoma volume> 90ml and whole brain compartment mold were 100% fatality rate. Sex, with diabetes, bleeding sites, concurrent subarachnoid hemorrhage mortality was not statistically significant. Conclusion The patient’s age, onset of headache, sudden increase of blood pressure, state of consciousness, ventricular involvement of Ⅲ, Ⅳ, perihepatic changes and hematoma volume and prognosis are related. The best treatment and surgical options can reduce the mortality.