【摘要】 目的　研究脑深部出血 (DCH )急性期患者死亡率与脑积水的关系。方法　将 6 0例急性DCH分为壳核出血组和尾状核、丘脑出血组 ,分别对其中昏迷评分、脑积水等与死亡率的关系进行统计分析。结果　脑积水 19例 ( 31.7% ) ,急性期死亡 17例 ( 2 8.3 % ) ,其中 14例有脑积水。分析表明Glasgow昏迷评分 (GCS)≤ 8与DCH急性期死亡率密切相关 ;脑积水与壳核出血急性期死亡率显著相关。结论　急性壳核出血病人若昏迷并有阻塞性脑积水则死亡可能性大。更多还原

【Abstract】 Objective To study the relationship between hydrocephalus and mortality in patients with deep cerebral hemorrhage (DCH).Methods Sixty patients with DCH were divided into two groups:putmintal hemorrhage (group 1) and thalamic and caudate hemorrhage (group 2). Statistical analysis was performed to determine the relation between the hydrocephalus,Glasgow coma score (GCS ) and mortality.Results Hydrocephalus was present in 19 of the 60 patients (31.7%). The mortality in the acute stage of the desease was 28.3% ,among them 14 cases had hydrocephalus. Multivariate analysis showed GCS≤8 was highly related to the mortality of acute DCH. Hydrocephalus was predictive of mortality of acute putminal hemorrhage.Conclusions Obstruction hydrocephalus in a comatose patient with putaminal hemorrhage is highly related to the motality.更多还原