MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TIÊN LƯỢNG BỆNH NHÂN CHẢY MÁU NÃO ĐA Ổ Ở NGƯỜI LỚN

Abstract

Objective: Analyzing some factors related to the prognosis of patients with multifocal cerebral hemorrhage in adults. Subjects and methods: We studied 52 patients with multifocal cerebral hemorrhage who were treated at the Neurological Center, Bach Mai Hospital, using the cross-sectional descriptive method. Results: We obtained 43 patients who survived 1 month after discharge from the hospital, and 9 patients died (17.3%). Most patients had 2 hematomas, accounting for 67.3%. Large hematoma size (48.33±24.37cm) and hematoma volume (median 3.01 ml) are accompanied by intraventricular hemorrhage, fever during treatment, and a Glasgow coma score <8 when the time of admission is related to patient death (p < 0.05). Some factors, such as the number of hematomas, cerebral edema, accompanying subarachnoid hemorrhage, increased blood creatinine, or coagulation disorders, have not been found to be related to the patient's mortality. Conclusion: Upon admission to the hospital, patients with multifocal cerebral hemorrhage, a coma with a Glasgow score < 8 points, and large hematoma size and volume were the main factors related to mortality.