原发性幕上脑出血患者的CT特征与预后的关系

目的研究首次原发性幕上脑出血CT特征与预后的关系。方法前瞻性登记首次原发性幕上脑出血患者的临床资料及CT特征，并随访6个月。对CT特征等预后因素与预后依次进行单因素和多因素Logistic回归分析。结果(1)血肿体积是脑出血患者1个月、3个月、6个月末死亡的CT预测因素；(2)血肿体积和继发性脑室出血是脑出血患者6个月末死亡／残疾的CT预测因素。结论(1)血肿体积可用于预测脑出血的死亡风险；(2)血肿体积和继发性脑室出血可用于预测脑出血死亡／残疾的风险。

Relationship between CT characteristics and prognosis in patients with primary supratentorial intracerebral hemorrhage

Objective To evaluate the relationship between cranial CT characteristics and prognosis after first-ever primary supratentorial intracerebral hemorrhage (PSICH). Methods The data of clinic and CT in patients with first-ever PSICH were registered prospectively and followed up for 6 months. The relationship between the prognosis and the clinic data was analyzed using univariate and multivariate Logistical regression analysis.Results (1) The volume of hematoma was an independent CT predictor of death at 1st, 3rd and 6th month. (2) Both the volume of hematoma and secondary ventricular hemorrhage were independent CT predictors of death/disability at 6th month.Conclusions (1)The volume of hematoma can be used to predict death in patients with PSICH.(2)The volume of hematoma and secondary ventricular hemorrhage can be used to predict the death/disability rate of PSICH.