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脑出血血肿体积动态演变的相关因素及CT定量评价 被引量:7

The correlation factors of the dynamic regulation of the volume of intracerebral hemorrhage and quantitative assessment by CT
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摘要 目的探讨脑出血血肿体积动态变化规律。方法使用脑出血血肿体积测量软件测算脑出血血肿体积,对血肿体积扩大及吸收分别进行分析。结果血肿扩大与出血部位、血肿形态、慢性肝病及长期饮酒史有关。血肿吸收组于第1天、第3天及第7天复查,血肿平均吸收比率分别为9.31%、16.04%、28.05%;首次出血量分别为<10ml、10~20ml、20~30ml者血肿吸收比率依次减小。结论出血部位、血肿形态、慢性肝病及长期饮酒史是脑出血后血肿扩大的相关因素;血肿吸收速度与首次出血量相关:首次出血量小吸收快,反之则越慢;血肿吸收组随时间进展,吸收速度增快。 Objective To investigate the dynamic regulation of the volume of intracerebral hemorrhage. Methods The volume of intracerebral hemorrhage was measured by hemotoma volume measurement software,the absorption and expansion of intracerebral hemorrhage were analyzed. Results The enlargement of hematoma was related with the position and shape of hematoma, history of chronic liver disease and long-term alcohol consumption. The hematoma absorption group was rechecked at the first, third and 7th day, and the average rates of hematoma absorption were 9. 31%, 16. 04% , 28. 05% respectively. The volume of the first intracerebral hemorrhage was 〈 10ml, 10 ~ 20ml, 20 - 30ml respectively. Conclusion The incidence of the expansion of hematoma is related to bleeding site, the irregular shapes of hematomas,long-term alcohol consumption and chronic hepatic disease. The hematoma absorption rate is associated with the first amount of bleeding, which is quickly absorbed if the amount of bleeding is small, otherwise, the outcome is opposite.
出处 《河北医药》 CAS 2010年第20期2789-2791,共3页 Hebei Medical Journal
关键词 脑出血 CT 血肿体积测量软件 血肿体积 吸收率 血肿扩大 intracerebral hemorrhage computer tomography hematoma volume measurement software volume of hematoma absorption rate hematoma enlargement
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