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目的探讨影响脑出血患者预后的有关因素。方法对1319例脑出血的临床资料进行单、多因素分析。结果出血部位、中线移位、血肿破入脑室、起病时意识状态及有否并发症对预后有非常显著的差异(均P<0.001);出血量的大小、高血压病史及治疗情况、血糖、肾功能及白细胞计数的异常、发病后的血压水平对预后的影响有显著的差异(P<0.05);年龄、性别、发病季节、血脂水平对预后无显著影响。结论出血部位、中线移位、血肿破入脑室、起病时意识状态及有否并发症是影响脑出血预后的重要因素。
Objective To explore the factors that affect the prognosis of patients with intracerebral hemorrhage. Methods The clinical data of 1319 cases of intracerebral hemorrhage were analyzed by single factor and multivariate analysis. Results Bleeding site, midline shift, hematoma ruptured into the ventricle, the onset of consciousness and whether the complication of complications have a very significant prognosis (all P <0.001); the amount of bleeding, history of hypertension and treatment , Blood glucose, renal function and white blood cell count abnormalities. The blood pressure level after the onset had a significant difference on the prognosis (P <0.05). There was no significant difference in prognosis between the two groups (age, sex, onset season and blood lipid level). Conclusion Bleeding site, midline shift, hematoma breaking into the ventricle, the onset of consciousness and whether complications are important prognostic factors of cerebral hemorrhage.