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高血压动脉硬化性脑出血预后较差,国内外报告其病死率约占50~70%,,甚至可达80%以上,且79~86.3%集中在一周内死亡。幸存者往往遗留有不同程度的偏瘫、失语而致残。因此,研究本病的死亡原因和预后具有重要意义。一、影响预后的主要因素: 1、年龄:综合有关文献,多数认为随年龄增长而死亡率渐升。如山西报导,60岁以下病死率仅占30%,而70岁以上的患者病死率高达70%上。但也有少数人认为,51~60岁者病死率较高,占39.4%,70岁以上反而较低,占8.2%。 2、体温与血压:体温发生变化者预后较差,如体温在38.5℃~39℃以上、持续高热或体温在36℃以下甚至不升者,其病死率可达80.9%~
Hypertensive arteriosclerosis cerebral hemorrhage prognosis is poor, the domestic and international reports of its mortality rate of about 50 to 70%, or even up to 80%, and 79 ~ 86.3% concentrated in a week of death. Survivors often left with varying degrees of hemiplegia, aphasia and disability. Therefore, the study of the cause of death and prognosis of this disease is of great significance. First, the main factors that affect the prognosis: 1, age: comprehensive literature, most believe that with age, the mortality rate increased. As reported in Shanxi, the case fatality rate is only 30% under the age of 60, while the case fatality rate is over 70% in those over 70 years old. However, there are also a few people who think that the mortality rate of those aged 51-60 years is higher at 39.4%, but lower at the age of 70, accounting for 8.2%. 2, body temperature and blood pressure: the body temperature changes are poor prognosis, such as body temperature above 38.5 ℃ ~ 39 ℃, sustained high fever or body temperature below 36 ℃ even not up, the mortality rate of up to 80.9%