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作者对8例自发性脑内出血(SICH)患者,在症状发作后1小时和12小时内先后进行两次头颅 CT 的超早期评价,其中4例因临床病情恶化而作第2次 CT,4例则为了评价其出血量进展而作第2次 CT 的前瞻性观察。8例中,6例两次 CT 间的出血量明显增加(43%～338%),同时伴有神经系统症状和体征加重。8例的第1次与第2次 CT 之间的出血量平均增加了107%(1～338%)。8例首次 CT 时的平均出血量为27±20ml。自卒中发作到首次 CT 的平均时间为70±34(35～140)分钟,自卒中发作到第2次
In 8 patients with spontaneous intracerebral hemorrhage (SICH), the authors performed an ultra-early evaluation of head CT twice within 1 hour and 12 hours after the onset of symptoms, 4 of whom underwent second CT due to a worsening clinical condition and 4 Then in order to evaluate the progress of bleeding and make a second prospective observation of CT. Of the 8 patients, the amount of bleeding between the two CT images increased significantly (43% to 338%), accompanied by increased neurological symptoms and signs. Bleeding was increased 107% (1 to 338%) on average between the first and second CTs in 8 patients. The average amount of bleeding in the first eight cases was 27 ± 20 ml. The mean time from stroke onset to first CT was 70 ± 34 (35 to 140) minutes, from the stroke onset to the second