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目的总结脑出血破入脑室的高龄重症患者的临床资料,探讨相应住院死亡风险。方法回顾性收集我院脑出血破入脑室的高龄重症患者病历资料,通过χ2检验筛住院死亡的危险因素,经多因素Logistic回归分析确定住院死亡的独立危险因素。结果经χ2检验筛选,血肿体积、出血累及脑室范围、中线移位、放弃有创治疗、再次出血等与高龄重症脑出血患者的住院死亡有关(χ2值分别为36.064、12.424,59.566、193.661、10.072)。经过多因素Logistic回归分析,放弃有创治疗和再次出血确立为住院死亡的独立危险因素(P<0.05)。结论对于脑出血破入脑室的高龄重症患者,应通过采用微创手术技术结合防范再次出血的有效措施降低住院死亡率。
Objective To summarize the clinical data of elderly patients with severe intracranial hemorrhage who have penetrated into the cerebral ventricles and explore the corresponding risk of in-hospital mortality. Methods The clinical data of elderly patients with severe acute cerebral hemorrhage in our hospital were retrospectively collected. The risk factors of in-hospital mortality were screened by χ2 test, and the independent risk factors of in-hospital mortality were determined by multivariate Logistic regression analysis. Results χ2 test screening, hematoma volume, hemorrhage involving the ventricle range, the median shift, to give up invasive treatment, re-bleeding and other elderly patients with severe intracerebral hemorrhage in hospital mortality (χ2 values were 36.064,12.424,59.566,193.661,10.072 ). After multivariate Logistic regression analysis, giving up invasive treatment and re-bleeding were independent risk factors for in-hospital mortality (P <0.05). Conclusion For elderly patients with severe intracerebral hemorrhage, minimally invasive surgical techniques should be combined with effective measures to prevent rebleeding to reduce in-hospital mortality.