CAJ | 학술논문

目的分析影响高血压脑出血破入脑室患者预后的因素。方法对104例高血压脑出血破入脑室患者的临床、头颅CT、治疗方法与预后的关系进行分析对比和医学统计处理。结果年龄、血压、意识、出血量、出血部位、破入脑室的范围和程度以及内、外科治疗均与高血压脑出血破入脑室患者的预后有关。高龄、严重高血压、昏迷、大量出血、破入全脑室和脑室铸形患者预后不良。结论选择适当病例，尽早进行外科开颅清除血肿或／和脑室引流，预后较好。
목적 분석영향고혈압뇌출혈파입뇌실환자예후적인소。 방법 대104례고혈압뇌출혈파입뇌실환자적림상、두로CT、치료방법여예후적관계진행분석대비화의학통계처리。 결과 년령、혈압、의식、출혈량、출혈부위、파입뇌실적범위화정도이급내、외과치료균여고혈압뇌출혈파입뇌실환자적예후유관。고령、엄중고혈압、혼미、대량출혈、파입전뇌실화뇌실주형환자예후불량。 결론 선택괄당병례，진조진행외과개로청제혈종혹／화뇌실인류，예후교호。
Purpose Analysis of the factors that influence t he prognosis ofpatients with hypertensive cerebral hemorrhage rupturing into ve ntricles of the brain has been done. MethordThe association be tween the clinical mani festation ,cranial CT,therapeutic methord and the prognosis for 104 cases with h ypentensive cerebral hemorrhage rupturing into ventricule of the brain was analy sized,contrasted, and medical-statistically managed. Results All of these factors， age blood pressure,conciousness,amount of bleeding, ble eding site,the range and degree of rupturing into ventricles of the brain,and me dicine and surgical treatment.are associated with the patients' prognosis,who ar e subjected to hypertensive cerebral hemorrhage rupturing into ventricles of the brain.The patients with high age, severe hypertension, coma,a large amount of b leeding,rupturing into whole ventricles of the brain and ventricular casting hav e unfauorable prognosis. Conclusions Early craniotomy to clea r out hematoma or/and ventricular drainage for appropriate patients can improve significantly the progrosis.