【摘要】 目的研究脑出血急性期非手术治疗的预后因素。方法回顾性研究105例非手术治疗的脑出血急性期患者的预后情况。结果死亡组严重昏迷、高热（≥39.1℃）、平均动脉压（>145mmHg）、血液破入脑室及蛛网膜下腔出血患者的发生率明显高于存活组（P<0.1或 P<0.05）。死亡组中脑出血量、收缩压、脉压、血清 Ca²⁺、AG、ALT、AST、LDH、CK、HBD、糖、Cr 和 TG的均值亦明显高于存活组（P<0.01或 P<0.05）。结论脑出血合并严重昏迷、高热、高血压、脑出血量大和破入脑室、蛛网膜下腔出血、血肿扩大及血液生化异常改变的患者预后不佳。更多还原

【Abstract】 Objective To investigate the factors which affected the prognosis of acute intracerebral hemorrhage （ICH） treated with non-surgical treatment.Methods The prognosis of 105 cases of acute ICH patients were studied retrospectively.Results In dead group, the rate of severe coma,hign grade of fever（≥39.1℃）,high mean blood pressure（>145 mmHg）,blood pouring into cerebral ventricle and subarachnoid hemorrhage（SAH） were significandy higher than those in survival group（P<0.01 or P <0.05）.In addition,the volume of hemorrhage,systolic blood pressure,serum of Ca²⁺,AG,ALT,AST,LDH,CK,HBD,glucose,Cr and TG were significantly higher than those in survival group（P<0.01 or P<0.05）.Conclusion Severe coma,high fever,high blood pressure,high volume of bleeding,the blood pouring into cerebral ventricle and subarachnoid hemorrhage,hemotoma enlargement and abnormal changes in biochemical parameters positive correlated with the severity of prognosis of acute ICH.更多还原