原发性脑室出血的临床特点及预后分析

发布时间：2019-05-09 03:04

【摘要】：目的：探讨原发性脑室出血(PIVH)的诊断、病因和预后。方法：对40例原发性脑室出血的病人临床资料进行回顾性分析。结果：年龄从18岁到75岁不等,平均年龄为44.35,其中25人为男性,15人为女性。临床症状最多的是头痛(33例),其次为恶心呕吐(23例),意识模糊(15例),头晕和意识丧失(8例)。17.5%的患者有脑血管畸形,12.5%的患者被发现有烟雾病,43.5%的患者有高血压。13例患者的病因和危险因素未知。死亡病例共4例(占10%),死亡原因是再出血和／或脑积水。11例的患者出现脑积水(占27.5%)。患者的脑积水情况和入院时的GCS评分是影响预后的相关因素(P0.05)。虽然高血压是一个对原发性脑出血重要的危险因素,但它并不影响患者的预后(P0.05)。结论：头痛是最常见的症状。高血压是原发性脑室内出血最常见的病因,其次是脑血管畸形和烟雾病。患者的脑积水情况和入院时的GCS评分是影响预后的相关因素。
[Abstract]:Objective: to investigate the diagnosis, etiology and prognosis of primary ventricular hemorrhage (PIVH). Methods: the clinical data of 40 patients with primary ventricular hemorrhage were retrospectively analyzed. Results: the age ranged from 18 to 75, the average age was 44.35, of which 25 were male and 15 were female. The most common clinical symptoms were headache (33 cases), nausea and vomiting (23 cases), blurred consciousness (15 cases), dizziness and loss of consciousness (8 cases). 17.5% of the patients had cerebrovascular malformations, 12.5% of them were found to have moyamoya disease. Hypertension was found in 43.5% of the patients. The etiology and risk factors of 13 patients were unknown. A total of 4 cases (10%) died, the causes of death were rebleeding and / or hydrocephalus. Hydrocephalus occurred in 11 cases (27.5%). Hydrocephalus and GCS scores on admission were prognostic factors (P0.05). Although hypertension is an important risk factor for primary cerebral hemorrhage, it does not affect the prognosis of patients (P0.05). Conclusion: headache is the most common symptom. Hypertension is the most common cause of primary intraventricular hemorrhage, followed by cerebrovascular malformations and moyamoya disease. Hydrocephalus and GCS scores on admission were the prognostic factors.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R743.34

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