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目的 研究自发性脑出血患者局部脑血流变化与临床病情及预后的关系。方法 30例对照者和 5 5例自发性脑出血患者用SPECT局部脑血流显像辅以半定量方法进行研究。结果 不同出血部位血流功能变化率依次为丘脑 (18.73± 4 .73)脑叶 (17.6± 5 .6 2 )壳核浅表型 (9.77± 4 .97)壳核深部型 (2 .77± 2 .0 1)血流功能变化率与患者的ADL积分成正相关。结论 根据局部脑血流恢复情况可以判断病情、估计预后。
Objective To study the relationship between local cerebral blood flow changes and clinical condition and prognosis in patients with idiopathic cerebral hemorrhage. Methods 30 control subjects and 55 patients with spontaneous intracerebral hemorrhage were studied by semi-quantitative SPECT local cerebral perfusion imaging. Results The changes of blood flow function in different hemorrhagic sites were as follows: thalamic (18.73 ± 4.73), (17.6 ± 5.26), (9.77 ± 4.97) deep type (2.77 ± 2 .0 1) The rate of change of blood flow function is positively correlated with the patient’s ADL score. Conclusion According to the recovery of local cerebral blood flow, the condition can be judged and the prognosis estimated.