ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH CẮT LỚP VI TÍNH SỌ NÃO BỆNH NHÂN ĐỘT QUỴ XUẤT HUYẾT NÃO CẤP TÍNH TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: This study aimed to identify key clinical and brain CT scan characteristics in patients with acute intracranial hemorrhages at 103 military hospital. Subjects and methods: We conducted a retrospective, cross-sectional study involving 61 patients diagnosed with hemorrhagic stroke at 103 military hospital. Results and discussion: Average age was 64.44±10.667, mainly men with a rate of 72.1%. Average blood pressure was 94,62±15,166 mmHg. The most common clinical symptom is hemiplegia. The average perception score (Glassgow) was 12,28±2,703. The average length of stay in hospital was 13,066±9,1175. In term of site, it occurred in 27.9% of the putamen, 29.5% of the thalamus, 21.3% of the lobes, 16.4% of the brain stem and 4.9% of the cerebellum. Midline shift of less than 5mm was majority (83.6%), displacement of more than 5mm accounted for 16.4%. The average hematoma volume was 29.16±48.24 mL. The relationship between Glassgow score, patient outcome with hematoma volume on CT scan and the degree of midline shift is statistically significant. Conclusions: Brain CT scan images provide a lot of information to predict treatment outcome for patients with intracranial hemorrhagic stroke. More than 30mL of hematoma volume and more than 5mm of midline shift are poor prognostic factors.