头颅CT平扫对自发性脑出血患者早期血肿扩大的预测作用

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中文摘要：目的探讨头颅CT平扫对自发性脑出血患者早期血肿扩大的预测作用.方法选取200 例自发性脑出血患者作为研究对象,所有患者均实施头颅CT平扫.统计分析患者早期血肿扩大发生情况,比较有无早期血肿扩大患者的头颅CT平扫影像学征象.结果对患者实施头颅CT平扫后发现,200 例患者中有 42 例发生早期血肿扩大,其余 158 例患者未发生血肿扩大.有早期血肿扩大患者中,28 例患者存在岛征、占比 66.67%,8 例患者存在黑洞征、占比 19.05%,37 例患者存在卫星征、占比88.10%,39 例患者存在混合征、占比 92.86%,25 例患者存在旋涡征、占比 59.52%,14 例患者为破入脑室系统、占比 33.33%;无早期血肿扩大患者中,11 例患者存在岛征、占比 6.96%,2 例患者存在黑洞征、占比 1.27%,13 例患者存在卫星征、占比 8.23%,55 例患者存在混合征、占比 34.81%,6 例患者存在旋涡征、占比 3.80%,4 例患者为破入脑室系统、占比 2.53%;有早期血肿扩大患者头颅CT平扫影像学征象与无早期血肿扩大患者比较存在显著的差异性(P<0.05).结论头颅CT平扫对自发性脑出血患者的早期血肿扩大情况有较好的预测作用.

外文标题：Effect of plain CT scanning of the head in prediction of early hematoma enlargement in patients with spontaneous cerebral hemorrhage

外文摘要：Objective To explore the effect of plain CT scanning of the head in prediction of early hematoma enlargement in patients with spontaneous cerebral hemorrhage.Methods 200 patients with spontaneous cerebral hemorrhage were selected as the study subjects,and plain CT scanning of the head was performed in all patients.The occurrence of early hematoma enlargement was statistically analyzed,and the imaging signs of plain CT scanning of the head in patients with and without early hematoma enlargement were compared.Results After performing plain CT scanning of the head,it was found that 42 out of 200 patients had early hematoma enlargement,and the remaining 158 patients did not have hematoma enlargement.Among the patients with early hematoma enlargement,28 patients had the island sign,accounting for 66.67%,8 patients had the black hole sign,accounting for 19.05%,37 patients had the satellite sign,accounting for 88.10%,39 patients had the mixed sign,accounting for 92.86%,25 patients had the vortex sign,accounting for 59.52%,and 14 patients had broken into the ventricular system,accounting for 33.33%.Among the patients without early hematoma enlargement,11 patients had the island sign,accounting for 6.96%,2 patients had the black hole sign,accounting for 1.27%,13 patients had the satellite sign,accounting for 8.23%,55 patients had the mixed sign,accounting for 34.81%,6 patients had the vortex sign,accounting for 3.80%,and 4 patients had broken into the ventricular system,accounting for 2.53%.There was a significant difference in plain CT scanning of the head between patients with early hematoma enlargement and those without early hematoma enlargement(P<0.05).Conclusion Plain CT scanning of the head has a good predictive effect on early hematoma enlargement in patients with spontaneous cerebral hemorrhage.

外文关键词：

Spontaneous cerebral hemorrhagePlain CT scanning of the headEarly hematoma enlargementPredictive effect

作者：

邓桂芳

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作者单位：

511500 广州医科大学附属清远医院(清远市人民医院)

关键词：

自发性脑出血头颅CT平扫早期血肿扩大预测作用

出版年：

2024

DOI：