CAJ | 학술논문

目的探讨脑血管CTA预测高血压脑出血患者血肿扩大的临床价值。方法60例高血压急性脑出血患者作为研究对象，进行CT平扫和CTA增强螺旋扫描，于入院时（发病6h内）初诊一次，发病24h后复诊1次，统计两次检查的血肿量，初诊时的点征阳性例数和复诊时的血肿扩大阳性例数。结果初诊点征阳性患者血肿量显著高于点征阴性患者（t=6.819，P<0.01），初诊点征阳性患者，复诊血肿扩大阳性率显著高于初诊点征阴性患者，复诊血肿扩大阳性率（χ2=8.458， P<0.01），且血肿量也显著高于后者（t=2.341，P<0.05）。结论对于入院时间较早的患者来说，CTA对于评估血肿扩大可能性方面，具有较高的参考价值，值得临床考虑。
목적탐토뇌혈관CTA예측고혈압뇌출혈환자혈종확대적림상개치。방법60례고혈압급성뇌출혈환자작위연구대상，진행CT평소화CTA증강라선소묘，우입원시（발병6h내）초진일차，발병24h후복진1차，통계량차검사적혈종량，초진시적점정양성례수화복진시적혈종확대양성례수。결과초진점정양성환자혈종량현저고우점정음성환자（t=6.819，P<0.01），초진점정양성환자，복진혈종확대양성솔현저고우초진점정음성환자，복진혈종확대양성솔（χ2=8.458， P<0.01），차혈종량야현저고우후자（t=2.341，P<0.05）。결론대우입원시간교조적환자래설，CTA대우평고혈종확대가능성방면，구유교고적삼고개치，치득림상고필。
objective:to study the cerebral CTA predict hematoma enlargement of hypertensive cerebral hemorrhage patients clinical value. Methods:60 cases of high blood pressure in patients with acute cerebral hemorrhage as the research object, CT scan and CTA enhanced spiral scanning, was in hospital (within 6 h), 24 h after onset appointment, statistical check twice the hematoma volume, key points of positive cases and visit the hematoma expansion of positive cases. Results:both the points patients positive for hematoma volume is significantly higher than patients negative (t =6.819,P <0.01), new point) positive patients, visit the hematoma expansion patients negative, positive rate was significantly higher than point visit hematoma expansion of positive rate (χ2=8.458, P <0.01), and the hematoma volume was also significantly higher than the latter (t =2.341,P <0.05). Conclusion:for patients hospitalized time earlier, CTA for evaluating hematoma expansion aspect, has the high reference value, worthy of clinical thinking.