张荣俊;蒋文斌;贡志刚;

• 1:南京中医药大学附属苏州医院苏州市中医医院神经外科

摘要(Abstract)：

目的研究CT平扫中不同类型血肿形态与脑出血血肿扩大的相关性。方法选取南京中医药大学附属苏州医院94例脑出血患者,在发病6h内头颅CT平扫检查,12²4h后复查头颅CT,将头颅CT中血肿形态分为类圆型、低密度型、分叶型、低密度-多叶型,观察这几种血肿形态再出血的发生率,分析不同血肿形态对脑出血血肿扩大的预测价值。结果 24h内血肿扩大发生率为24.7%,其中类圆形血肿扩大率为9.5%,低密度血肿扩大率为47.6%,分叶改变血肿扩大率为28.6%,低密度+分叶血肿扩大率为14.3%,4组差异有统计学意义(P<0.01)。结论脑出血患者CT平扫中伴低密度改变及多叶改变可以为预测血肿的进一步扩大提供帮助,有助于进一步判断病情发展及指导临床治疗。

关键词(KeyWords)： 脑出血;血肿;X线计算机,体层摄影术;预测;预后

Abstract:

Keywords:

基金项目(Foundation): 江苏省中医药局科技项目(LB11022);; 苏州市科技发展计划项目(SYSD2011154)

作者(Authors): 张荣俊;蒋文斌;贡志刚;

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