Đánh giá tiên lượng bệnh nhân chảy máu não có tăng huyết áp theo thang điểm ICH tại Bệnh viện Đa khoa tỉnh Thái Bình

Abstract

Objective: To evaluate the prognosis of severity based on the ICH (Intracerebral hemorrhage) score in patients with hypertensive cerebral bleeding. Subject and method: A cross-sectional descriptive study was conducted on 81 patients with cerebral bleeding at Thai Binh General Hospital. Result: At the age of 80 or over, the risk of death increases by 7.38 times compared to that of the age < 80; the risk of death among patients with Glasgow < 13 points increases 11.3 times compared with the Glasgow ≥ 13 points group of patients. Vomiting and convulsions were not associated with the prognosis of patients. Hematoma volume ≥ 30cm³ increases the risk of death by 10.3 times compared to that of volume < 30cm³. Cerebral hemorrhage induced intraventricular hemorrhage increases the risk of death by 10 times compared with patients without intraventricular hemorrhage. Respecting severe prognosis/death of patients with cerebral hemorrhage based on the ICH score, the mortality rate increases with increasing scores (1-point-ICH was 11.1%, 2-point-ICH was 23.6%, 3-point-ICH was 77.7%, 4-point-ICH was 100%). Conclusion: Age ≥ 80 years, male gender, sudden onset with consciousness disorder, under-13-point-Glasgow at the time of admission, and sphincter disorder make a significant contribution to the prognosis of severity in patients with cerebral hemorrhage. Mortality increases gradually as ICH scores increase.