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目的探讨分析大脑半球自发性脑内出血(ICH)患者意识水平与早期血肿扩大及血肿量的相关性,为血肿扩大的预测提供新指标。方法对126例发病后4 h内CT诊断为大脑半球ICH患者,24 h后复查CT,了解血肿扩大的发生情况,将结果与首诊时格拉斯哥昏迷评分(GCS)和脑实质内血肿量之间的关系进行分析。结果早期血肿扩大发生率为27.0%。经统计分析,在轻、中度意识障碍组(GCS 9～15分)GCS评分与血肿量呈正相关(P<0.05),在重度意识障碍组(GCS 3～8分)GCS评分仅与血肿扩大相关(P<0.05)。结论患者就诊时GCS评分是大脑半球ICH早期血肿扩大的重要预测指标,血肿量不大而意识障碍严重,高度提示血肿进行性生长。
Objective To explore the correlation between the level of consciousness of patients with spontaneous intracerebral hemorrhage (ICH) in the hemisphere and the early hematoma enlargement and hematoma volume, and to provide a new index for the prediction of hematoma enlargement. Methods One hundred and sixty-six patients with intracerebral hemorrhage (ICH) were diagnosed by intracranial CT within 4 hours after the onset of disease. The CT was reviewed 24 hours later to find out the extent of hematoma enlargement. The results were compared with those of Glasgow Coma Scale (GCS) and intraparenchymal hematoma volume The relationship between the analysis. Results The incidence of early hematoma enlargement was 27.0%. The statistical analysis showed that there was a positive correlation between the GCS score and the volume of hematoma in the mild and moderate disturbance of consciousness group (GCS 9 ~ 15) (P <0.05), GCS score in severe ADHD group (GCS 3-8) Related (P <0.05). Conclusion GCS score is an important predictor of hematoma expansion in early stage of cerebral hemisphere ICH. The amount of hematoma is small and the disturbance of consciousness is serious. It is highly suggestive of hematoma growth.