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目的探讨大脑半球自发性脑内出血(ICH)患者意识水平与早期血肿扩大及血肿量的相关性,为血肿扩大的预测提供新指标。方法对87例发病后4h内CT诊断为大脑半球ICH患者,24h后复查CT,了解血肿扩大的发生情况,将结果与首诊时格拉斯哥昏迷评分(GCS)和脑实质内血肿量之间的关系进行分析。结果早期血肿扩大发生率为27.6%。经统计分析,在轻、中度意识障碍组(GCS9～15分)GCS评分与血肿量呈正相关(P=0.011),在重度意识障碍组(GCS3～8分)GCS评分仅与血肿扩大相关(P=0.026)。结论患者就诊时GCS评分是大脑半球ICH早期血肿扩大的重要预测指标,血肿量不大而意识障碍严重高度提示血肿进行性生长。
Objective To explore the correlation between the level of consciousness of patients with spontaneous intracerebral hemorrhage (ICH) in the hemisphere and the early hematoma enlargement and hematoma volume, and to provide a new index for the prediction of hematoma enlargement. Methods Eighty-seven patients were diagnosed as cerebral hemispheres (ICH) by CT scan within 4h after onset. The CT scan was performed 24 hours later to find out the extent of hematoma enlargement. The relationship between Glasgow Coma Scale (GCS) and intracerebral hematoma volume was analyzed. Analyze. Results The incidence of early hematoma enlargement was 27.6%. The statistical analysis showed that the GCS score was positively correlated with the volume of hematoma in the mild and moderate disturbance of consciousness group (GCS = 15-15) (P = 0.011), GCS score was only associated with the enlargement of the hematoma in the group with severe disturbance of consciousness (GCS 3-8) P = 0.026). Conclusion GCS score is an important predictor of hematoma enlargement in early stage of cerebral hemisphere ICH. The amount of hematoma is small and consciousness disorder is highly suggestive of hematoma growth.