JAHA:良性脑出血:血肿生长和预后不良的低风险患者

2019-04-11 xing.T 网络

由此可见,良性ICH患者血肿扩大和预后不良的风险较低。这些患者对于不太密集的监测可能是安全的,并且不太可能从旨在预防ICH扩张的治疗中受益。

近日,血管疾病领域权威杂志JAHA上发表了一篇研究文章,研究人员旨在定义良性脑出血(ICH)并调查良性ICH、血肿扩张和功能结局之间的关联。

研究人员分析了一项前瞻性收集的ICH患者队列,他们在2011年7月至2017年2月症状出现后6小时内送达一所三级教学医院。在初始计算机断层扫描后36小时内进行随访计算机断层扫描。良性ICH在操作上被定义为均匀且规则形状的小ICH。在入院计算机断层扫描的基础上,由2名独立评价者判断有无良性ICH。功能独立性定义为3个月时改良的Rankin量表评分为0至2。通过使用多变量Logistic回归分析评估良性ICH、血肿扩张和功能结局之间的关联。

该研究共纳入了288例ICH患者。48名患者(16.7%)发现良性ICH。良性ICH患者均无早期血肿扩张。良性ICH可预测3个月功能独立的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为30.7%、96.6%、90.0%、60.0%和0.637。

由此可见,良性ICH患者血肿扩大和预后不良的风险较低。这些患者对于不太密集的监测可能是安全的,并且不太可能从旨在预防ICH扩张的治疗中受益。

原始出处:

Qi Li.et al.Benign Intracerebral Hemorrhage: A Population at Low Risk for Hematoma Growth and Poor Outcome.JAHA.2019.https://www.ahajournals.org/doi/full/10.1161/JAHA.118.011888

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    2019-04-13 一个字-牛

    学习了谢谢分享

    0

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createdTime=Fri Apr 12 00:44:25 CST 2019, time=2019-04-12, status=1, ipAttribution=)]
    2019-04-13 zhaohui6731
  5. 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  6. 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  7. 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createdTime=Fri Apr 12 00:44:25 CST 2019, time=2019-04-12, status=1, ipAttribution=)]
    2019-04-13 txqjm

    谢谢了,学习

    0

  8. 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createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Apr 12 21:03:07 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364519, encodeId=555636451942, content=挺有用的推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Fri Apr 12 07:52:49 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364509, encodeId=10173645099b, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Apr 12 00:44:25 CST 2019, time=2019-04-12, status=1, ipAttribution=)]
    2019-04-12 医者仁心5538

    学习了

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1812569, encodeId=a0d7181256942, content=<a href='/topic/show?id=515189905c9' target=_blank style='color:#2F92EE;'>#血肿生长#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89905, encryptionId=515189905c9, topicName=血肿生长)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Sun Sep 29 14:12:00 CST 2019, time=2019-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364625, encodeId=a5e8364625cb, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6d551998554, 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createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Apr 12 21:03:07 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364519, encodeId=555636451942, content=挺有用的推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Fri Apr 12 07:52:49 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364509, encodeId=10173645099b, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Apr 12 00:44:25 CST 2019, time=2019-04-12, status=1, ipAttribution=)]
    2019-04-12 gcwu82

    挺有用的推荐

    0

  10. 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createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Apr 12 21:03:07 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364519, encodeId=555636451942, content=挺有用的推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Fri Apr 12 07:52:49 CST 2019, time=2019-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=364509, encodeId=10173645099b, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Apr 12 00:44:25 CST 2019, time=2019-04-12, status=1, ipAttribution=)]
    2019-04-12 飛歌

    学习了很有用不错

    0