CAJ | 학술논문

【目的】探讨脑出血（intracerebral hemorrhage ，ICH）患者临床症状特点及与预后的关系。【方法】2010年1～12月在本院诊治且病历资料完整的196例患者，比较不同病程、年龄及性别间病因、临床特点和预后。【结果】本病多发于60～70岁的老年人，男性患者明显多于女性（ P ＜0．05），不同病程中血液成分指标变化有统计学意义（P ＜0．01，P ＜0．05），发病前血压及发病后血压越高，预后越差（P ＜0．01）。【结论】脑出血患者男性明显多于女性，性别、年龄、发病前后血压等是决定预后的主要因素。
【목적】탐토뇌출혈（intracerebral hemorrhage ，ICH）환자림상증상특점급여예후적관계。【방법】2010년1～12월재본원진치차병력자료완정적196례환자，비교불동병정、년령급성별간병인、림상특점화예후。【결과】본병다발우60～70세적노년인，남성환자명현다우녀성（ P ＜0．05），불동병정중혈액성분지표변화유통계학의의（P ＜0．01，P ＜0．05），발병전혈압급발병후혈압월고，예후월차（P ＜0．01）。【결론】뇌출혈환자남성명현다우녀성，성별、년령、발병전후혈압등시결정예후적주요인소。
[Objective] To explore the correlation between clinical symptom features and prognosis in intrace-rebral hemorrhage(ICH) .[Methods]A total of 196 patients with complete case history data in our hospital from Jan .2010 to Dec .2010 were enrolled .The cause ,clinical features and prognosis in different course ,age and sex were compared .[Results] The disease occurred mainly in patients aged 60~70 years old .The male patients were obviously more than female patients .The incidence was higher in autumn and winter than in spring and summer . The onset of the disease was rarely in sleep or wake state ,but mainly in exertion or agitation state .[Conclusion]The male patients with ICH are obviously more than the female patients .Hypertension is the most risk factors . The incidence of young men is far higher than that of young women .The age ,bleeding volume ,hemorrhage breaking into ventricles of brain ,blood pressure before and after the occurrence and complications are the main de-cisive factors of prognosis .