CAJ | 학술논문

目的：分析首次CT检查对高血压脑出血患者血肿扩大的预测价值。方法选取2013年1月—2014年6月隆化县医院收治的80例高血压脑出血患者，均于入院6 h内行首次颅脑CT检查及CT灌注成像，记录其脑出血部位、出血量及血肿形状；入院治疗2周后再次行CT检查，分析首次CT检查对血肿扩大的预测价值。结果首次CT检查结果：出血量﹤30 ml者56例，出血量≥30 ml者24例；基底核区出血35例，丘脑出血28例，脑叶出血10例，小脑出血7例；CT灌注结果：不规则形血肿51例，肾形血肿15例，圆形或类圆形血肿14例。血肿扩大情况：不同出血部位及出血量患者血肿扩大发生率比较，差异无统计学意义（ P﹥0.05）；不规则形血肿患者血肿扩大发生率高于肾形、圆形或类圆形血肿患者（ P﹤0.05）。结论首次CT检查可准确评估高血压脑出血患者出血部位、出血量及血肿形状，对血肿扩大有一定的预测价值。
목적：분석수차CT검사대고혈압뇌출혈환자혈종확대적예측개치。방법선취2013년1월—2014년6월륭화현의원수치적80례고혈압뇌출혈환자，균우입원6 h내행수차로뇌CT검사급CT관주성상，기록기뇌출혈부위、출혈량급혈종형상；입원치료2주후재차행CT검사，분석수차CT검사대혈종확대적예측개치。결과수차CT검사결과：출혈량﹤30 ml자56례，출혈량≥30 ml자24례；기저핵구출혈35례，구뇌출혈28례，뇌협출혈10례，소뇌출혈7례；CT관주결과：불규칙형혈종51례，신형혈종15례，원형혹류원형혈종14례。혈종확대정황：불동출혈부위급출혈량환자혈종확대발생솔비교，차이무통계학의의（ P﹥0.05）；불규칙형혈종환자혈종확대발생솔고우신형、원형혹류원형혈종환자（ P﹤0.05）。결론수차CT검사가준학평고고혈압뇌출혈환자출혈부위、출혈량급혈종형상，대혈종확대유일정적예측개치。
Objective To analyze the predictive value of first CT scan on hematoma enlargement in patients with hypertensive cerebral hemorrhage. Methods From January 2013 to June 2014,a total of 80 patients with hypertensive cerebral hemorrhage were selected in Longhua County Hospital,all of them received first CT scan and CT perfusion imaging within 6 hours after admission,and then recorded the hemorrhage positions,hemorrhage amounts and hematoma shapes;all of the patients received second CT scan to observe the incidence of hematoma enlargement after 2 weeks of admission. Results Of the 80 patients,56 patients'hemorrhage amounts were less than 30 ml,24 patients'hemorrhage amounts were over or equal 30 ml;35 patients'hemorrhage positions were basal nucleus region, 28 patients' hemorrhage positions were thalamus, 10 patients'hemorrhage positions were cerebral lobe,7 patients'hemorrhage positions were cerebellum;51 patients' hematoma shapes were irregular,15 patients'hematoma shapes were kidney like,14 patients' hematoma shapes were rounded or almost rounded. No statistically significant differences of incidence of hematoma enlargement in patients with different hemorrhage positions or hemorrhage amounts ( P ﹥0. 05 ), the incidence of hematoma enlargement of patients with irregular hematoma shapes was statistically significantly higher than those patients with kidney like hematoma shapes and rounded or almost rounded hematoma shapes,respectively(P ﹤0. 05). Conclusion First CT scan can exactly evaluate the hemorrhage positions,hemorrhage amounts and hematoma shapes of patients with hypertensive cerebral hemorrhage,has a good predictive value on hematoma enlargement.