196例脑出血患者的临床症状特征与预后关系的分析

【目的】探讨脑出血（intracerebralhemorrhage，ICH）患者临床症状特点及与预后的关系。【方法】120lO年1～12月在本院诊治且病历资料完整的196例患者，比较不同病程、年龄及性别间病因、临床特点和预后。【结果】本病多发于60～70岁的老年人，男性患者明显多于女性（P〈O．05），不同病程中血液成分指标变化有统计学意义（P〈0．01，P〈0．05），发病前血压及发病后血压越高，预后越差（P〈0．01）。【结论】脑出血患者男性明显多于女性，性别、年龄、发病前后血压等是决定预后的主要因素。

Analysis of the Correlation Between Clinical Symptom Features and Prognosis in 196 Cases of In-tracerebral Hemorrhage

Objective] To explore the correlation between clinical symptom features and prognosis in intracerebral hemorrhage（ICH）. Methods]A total of 196 patients with complete case history data in our hospital from Jan. 2010 to Dee. 2010 were enrolled. The cause, clinical features and prognosis in different course, age and sex were compared. Results] The disease occurred mainly in patients aged 60-70 years old. The male patients were obviously more than female patients. The incidence was higher in autumn and winter than in spring and summer. The onset of the disease was rarely in sleep or wake state, but mainly in exertion or agitation state. Conclusion] The male patients with ICH are obviously more than the female patients. Hypertension is the most risk factors. The incidence of young men is far higher than that of young women. The age, bleeding volume, hemorrhage breaking into ventricles of brain, blood pressure before and after the occurrence and complications are the main de- cisive factors of prognosis.