ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN CHẢY MÁU NÃO CẤP VÙNG NHÂN XÁM TRUNG ƯƠNG DO TĂNG HUYẾT ÁP

Abstract

Objective: To describe clinical features acute hypertensive basal ganglia intracerebral hemorrhage. Subjects and methods: a prospective, descriptive study of 121 patients with acute hypertensive basal ganglia intracerebral hemorrhage at Department of Neurology, Bach Mai Hospital from June 2021 to June 2022. Results: The mean age of the study group was 59.6 ±11.5. Male/Female ratio 1.9. The onset is usually sudden (96.7%), patients are usually hospitalized in the first 24 hours (56.2%). 100% of patients had BP on admission >140/90 mmHg. The rate of increase in SBP (100%) was higher than the rate of increase in SBP (74.4%) in which the proportion of patients with SBP > 180mmHg accounted for 33.1%. Clinical manifestations are diverse. The most common symptoms were headache (86.8%), nausea and vomiting (66.9%). Besides, the most common physical symptoms were hemiplegia (98.3%), facial paralysis (91.7%), consciousness disorder (52.1%). The level of hemiplegia is often severe, the proportion of patients with paralysis level from 0-3 accounts for 62.8%, of which the muscle strength of 0/5 accounts for 25.6%. Conclusion: The disease usually has sudden onset with diverse clinical symptoms, the most common is hemiplegia (98.3%), facial paralysis (91.7%), headache (86.8%), nausea and vomiting (66.9%). Most of the patients admitted to the hospital with hypertensive status in which 33.1% of cases had systolic blood pressure >180 mmHg. The level of hemiplegia is often severe.