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目的:观察有或无CT脑灌注“点征”自发性脑内出血(sICH)患者的临床疗效。方法:以本院2013年5月~2015年5月就诊的100例s ICH,均接受基线CT脑灌注检查,依据是否有“点征”将患者分为观察组(有“点征”)与对照组(无“点征”),24内行CT平扫复查,比较两组影像学结果及临床结果。并通过Logistic多因素分析影响s ICH患者预后不良(死亡)危险因素。结果:观察组24h内CT平扫复查血肿增长6 mL以上、血肿增长相对值33%及以上比率均明显高于对照组(P<0.05);观察组血肿进展发生率、3个月内死亡率分别为63.04%、36.96%,显著高于对照组的14.81%、7.41%(P<0.05)。Logistic回归分析发现sICH患者预后不良独立危险因素包括基线血肿体积、“点征”。结论:有或无CT脑灌注“点征”自发性脑内出血患者血肿进展、预后不同,基线血肿体积、“点征”为sICH患者预后不良的独立危险因素。
Objective: To observe the clinical curative effect of patients with cerebral hemorrhage (sICH) with or without cerebral CT perfusion. Methods: A total of 100 ICSI patients treated in our hospital from May 2013 to May 2015 were enrolled in the baseline CT cerebral perfusion test. Patients were divided into observation group “) And control group (without ” point sign “), 24 CT scan review, imaging results and clinical outcomes were compared between the two groups. Logistic multivariate analysis was performed to determine the risk factors for poor prognosis (death) in ICH patients. Results: Within 24 hours of observation, CT scan showed that the hematoma increased more than 6 mL and the relative growth rate of hematoma was 33% and higher than that of the control group (P <0.05). The incidence of hematoma progression, the mortality within 3 months 63.04% and 36.96% respectively, which was significantly higher than that of the control group (14.81% and 7.41%, P <0.05). Logistic regression analysis found that sICH patients with poor prognosis independent risk factors including baseline hematoma volume, ”point sign “. Conclusion: The progress of hematoma with or without CT cerebral perfusion ”point sign“ in patients with spontaneous intracerebral hemorrhage, the prognosis is different, the baseline hematoma volume, ”point sign" is an independent risk factor for sICH patients with poor prognosis.