ĐÁNH GIÁ ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CẮT LỚP VI TÍNH Ở BỆNH NHÂN MÁU TỤ NỘI SỌ TỰ PHÁT TRÊN LỀU

Abstract

Objective: Assessment characteristics clinical and computed tomography images in spontaneous supratentorial intracerebral hematoma.Method: From May 2017 to May 2022, a retropective study of 35 patients diagnosed with spontaneous supratentorial intracerebral hematoma (SSIH) by computed tomography (CT) at 108 Military Central Hospital. Results: The study was conducted on 35 patients with SSIH, the mean age of the study group was 58.46 ± 9.97, male (82.9%), female (17.1%). The main history was hypertension (83.3%), alcoholism (8.3%), use of platelet inhibitors (8.3%) and cirrhosis (2.8%). The rate of patients admitted before 6 hours was 31.4%. The majority of patients were hospitalized within 6-72 hours (65.7%). Clinical symptoms often had a sudden onset (97.1%). The most common clinical symptoms were neurologic paralysis (47.9%), cranial nerve palsy (28.8%), and headache (17.8%), vomiting had a low rate (5.5%). The mean Glasgow Coma Sclae (GCS) admission was 9.8 ± 1.75 points (8-14 points). The majority of patients admitted to the hospital in a comatose state with GCS scores from 9 to 12 (60%). The most common sites of SSIH are in the thalamus (60%), basal ganglia (34.3%), the rest are lobes. brain (5.7%). The average volume of SSIH was 67.44 ± 24.32ml. The degree of midline deviation was mainly grade II (71.4%), the rest was grade III (28.6%). The degree of cerebral edema is mainly grade I (80%), the rest is grade II (20%).