| 自发性脑出血早期血肿扩大首诊CT分析 |
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| 引用本文： | 贝玉章,陈本阳,齐浩波,周正平,李宇波.自发性脑出血早期血肿扩大首诊CT分析[J].中国现代神经疾病杂志,2012,12(3):360-362. |
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| 作者姓名： | 贝玉章 陈本阳 齐浩波 周正平 李宇波 |
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| 作者单位： | 湖南省浏阳市集里医院神经内科,410300 |
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| 摘 要： | 探讨首诊头部CT影像对自发性脑出血早期血肿扩大的预测价值。300例发病后6h内入院的自发性脑出血患者,经CT检查显示其中61例(20.33%)发生早期血肿扩大,经单因素和多因素Logistic回归分析显示,早期血肿扩大与首诊CT距发病时间短、血肿密度不均匀、中至重度脑萎缩及血
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| 关 键 词： | 脑出血 体层摄影术 X线计算机 |
The analysis of initial cranial CT of early hematoma enlargement in spontaneous intracerebral hemorrhage |
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| BEI Yu-zhang
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CHEN Ben-yang
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QI Hao-bo
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ZHOU Zheng-ping
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LI Yu-bo.The analysis of initial cranial CT of early hematoma enlargement in spontaneous intracerebral hemorrhage[J].Chinese Journal of Contemporary Neurology and Neurosurgery,2012,12(3):360-362. |
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| Authors: | BEI Yu-zhang CHEN Ben-yang QI Hao-bo ZHOU Zheng-ping LI Yu-bo |
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| Institution: | Department of Neurology,Jili Hospital of Liuyang,410300,Hunan,China |
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| Abstract: | Objective To investigate the predictive effect of initial cranial CT on early hematoma enlargement in spontaneous intracerebral hemorrhage.Methods Three hundred patients with spontaneous intracerebral hemorrhage within 6 hours after onset were studied.Chi square test and logistic regression analysis were used to detect the related factors which may indicate hematoma enlargement.Results Sixtyone(20.33%) patients presented hematoma enlargement on cranial CT.Single factor and multivariate regression analysis showed that the following factors were associated with early hematoma enlargement:early onset,uneven density hematoma,moderate and severe brain atrophy and hematoma located at the basal ganglia.Conclusion Early onset uneven density hematoma,moderate and severe brain atrophy,and hematoma at basal ganglia are the factors which may indicate early hematoma enlargement in patiens with spontaneous intracerebral hemorrhage. |
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| Keywords: | Cerebral hemorrhage Tomography X-ray computed |
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