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总结分析丘脑出血的病因 ,结合临床表现及辅助检查判定预后。方法 对经 CT证实的丘脑出血患者 61例做回顾性分析。结果 高血压与丘脑出血呈正相关。病死率与下列因素有关 :1出血破入脑室系统。 2出血量≥ 15 ml。 3发病早期出现意识障碍。 4发病早期血糖水平增高。 5发病早期外周血白细胞计数或中性粒细胞比率增高。 6病程中出现应激性溃疡。 7病程中出现中枢性高热。结论 高血压为丘脑出血的主要原因 ,上述 7项因素为丘脑出血预后不良的指标。
To summarize the etiology of thalamic hemorrhage, combined with clinical manifestations and laboratory tests to determine the prognosis. Methods Retrospective analysis of 61 cases of thalamic hemorrhage confirmed by CT. Results Hypertension and thalamic hemorrhage were positively correlated. Mortality and the following factors: a hemorrhagic rupture of the ventricular system. 2 bleeding ≥ 15 ml. 3 early onset of consciousness disorders. 4 early onset of elevated blood glucose levels. 5 early onset of peripheral white blood cell count or neutrophil ratio increased. 6 during the emergence of stress ulcer. 7 during the central fever. Conclusions Hypertension is the main cause of thalamic hemorrhage. The above seven factors are indicators of poor prognosis of thalamic hemorrhage.