目的分析高血压脑出血CT特征 与其与预后的相关性。方法 回顾性分析 我院2013年1月-2014年12月收治的75例 高血压脑出血患者CT影像资料及其他资 料，观察高血压脑出血CT特征(包括出血 部位、血肿形态、出血量、是否破入脑室 等)，根据mRS评分将患者分为预后良好 组与预后不良组，对CT特征与预后相关 性行单因素及多因素Logistic分析。结 果 高血压脑出血CT特征：基底节区出血 占57.3%，血肿形态规则占81.3%；出血 量30ml以下占46.7%，出血量60ml以上占 18.7%；出血破入脑室占30.7%。30ml以下 出血量患者发病3个月mRs评分明显低于 30-60ml、60ml以上(P＜0.05)。单因素及 多因素Logistic分析患者年龄、脑出血 量、出血破入脑室是高血压脑出血患者预 后不良独立危险因素。结论 CT影像特征 可作为高血压脑出血预后评估的重要依 据。

Objective To analyze the CT features and their correlation with prognosis of hypertensive cerebral hemorrhage. Methods CT imaging data and other data of 75 patients with hypertensive cerebral hemorrhage who were treated in our hospital during January 2013 to December 2014 were retrospectively analyzed. The CT features (including bleeding site, hematoma shape, bleeding volume and whether breaking into ventricle or not) of hypertensive cerebral hemorrhage were observed. According to mRS score, the patients were divided into the favorable prognosis group and the poor prognosis group. For CT features and their correlation with prognosis, univariate and multiple Logistic analysis were performed. Results CT features of hypertensive cerebral hemorrhage: basal ganglia hemorrhage accounted for 57.3%, regular hematoma shape for 81.3%, bleeding volume less than 30ml for 46.7%, bleeding volume more than 60ml for 18.7% and hemorrhage breaking into ventricle for 30.7%. The mRs score of patients with bleeding volume less than 30ml and 3 months after onset was significantly lower than that of 30- 30ml and more than 60ml (P<0.05). Univariate and multiple Logistic analysis indicated that age, cerebral hemorrhage volume and hemorrhage breaking into ventricle were the independent risk factors for poor prognosis of patients with hypertensive cerebral hemorrhage. Conclusion CT imaging features can be used as an important basis for evaluating the prognosis of hypertensive cerebral hemorrhage.