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脑出血(intracerebral hemorrhage,ICH)是神经内科常见的危重急症,具有较高的发病率、致死率和致残率。Leira等研究提示,血肿扩大可使患者早期神经功能恶化的发生率增加4倍,对预后不良的影响更加严重。许多学者也认为,脑出血早期血肿扩大是神经功能恶化及预后不良的首要因素。因而认识脑出血早期血肿扩大的有效预测指标,有助于早期对高危患者及时给予手术或针对性的止血处理,可望改善血肿扩大患者的预后。
Intracerebral hemorrhage (ICH) is a common critical emergency in neurology, with high morbidity, mortality and morbidity. Leira and other studies suggest that hematoma enlargement can make the incidence of early neurological deterioration in patients with a 4-fold increase in the prognosis of the worse. Many scholars also believe that the early hematoma expansion of cerebral hemorrhage is the primary factor of neurological deterioration and poor prognosis. Therefore, recognizing the effective predictive value of early hematoma enlargement of cerebral hemorrhage can help to timely give surgical or targeted hemostasis in high risk patients in the early stage and hopefully improve the prognosis of patients with hematoma enlargement.