YẾU TỐ LIÊN QUAN ĐẾN TỤ MÁU NHU MÔ NÃO Ở BỆNH NHÂN CHẢY MÁU DƯỚI NHỆN DO VỠ PHÌNH ĐỘNG MẠCH NÃO

Abstract

Descriptive observational study to determine some clinical and paraclinical parameters related to subarachnoid hemorrhage with brain parenchymal hematoma from August 2021 to July 2023 at Bach Mai hospital. Among Of the 330 patients, 189 (57.3%) were female and the median age was 58 years (IQR: 50–65). Intracerebral hematoma appeared in 20 % (66/330) of patients with subarachnoid hemorrhage. There is a difference between the two groups with brain parenchymal hematoma and without Intracerebral hematoma: initial symptoms: (headache, loss of consciousness), focal neurological signs: (hemiplegia, Glasgow score), aneurysm location (middle cerebral artery, posterior communicating artery), severity of subarachnoid bleeding (World Federation of Neurosurgery classification levels IV, V). Multivariate regression analysis showed factors associated with Intracerebral hematoma in patients with subarachnoid hemorrhage: hemiplegia (OR: 5.641; 95% CI: 2.358 to 13.489; p<0.001), hematoma subdural (OR: 5.310; 95% CI: 1.043 to 27.039; p = 0.044), severity classified according to the World Federation of Neurosurgeons (WFNS) grade IV (OR: 4.218 95% CI: 1.295 to 9.088 p < 0.001), grade V (OR: 7.615 95 % CI: 2.752 to 21.072 p < 0.001) and ruptured middle cerebral artery aneurysm (OR: 5.218; 95% CI: 1.958 to 10.602; p < 0.001).