nhận xét triệu chứng và các yếu tố liên quan tới bệnh nhân chảy máu não điều trị nội chú tại khoa thần kinh bệnh viện thanh nhàn

576
NHN XÉT TRIU CHNG VÀ CÁC YU T LIÊN QUAN TI BNH NHÂN CHY
U TR NI TRÚ TI KHOA THN KINH BNH VIÊN THANH NHÀN

i - Phan Th ng



 máu não. Tìm
 máu não.

ngang trên 

 


92,9%, Tron
9



49,6%.
 

SUMMARY

Subject and methods: 
patients with brain haemorrhage who were treated at neurological department of Thanh Nhan
hospital from october 1st

to 2006 to september 31th 2007.

Results: A medium Age of group patients: 60,63 ± 13,05 years old, the rate of
males/females were 1,9, more higher at the 4 months of the winter-spring (12,1,2,3). The most
symptoms of bronchial asthma were headache 96,1%, vomit 44,1%, mental disorder 49,6%,
brain membrane syndrome 100%, paralysed 92,9%. A medium amount of white cells in blood
were11,8 x 10
9
. some rist factors common of brain haemorrhage were: Hypertension 85,8%, in
blood: glucoza increased 44,9%, triglyccerid increased 40,9%. cholesterol total increased
38,7%, alcohol abuse 18,9%, cigarette abuse 11%, There were combined of 2 rist factors to
over acquired 49,6%
Key words: Brain haemorrhage.


Ch máu não




 

1.  máu não.
2.  máu não.



         


577
- 

- 

 

2.3. X lý s liu
 

III. KT QU NGHIÊN CU
Bng 3.1. Tui và gii cña 127 BN chy máu não

Nam

 
n
n
n
%
20-29
2
1
3
2,3
30-39
3
2
5
3,9
40-49
7
5

12
9,4
50-59
25
6
31
24,4
60-69
26
16
42
33,1
70-79
15
11
26
20,5
80-89
5
3
8
6,3

83 (65,4%)
44 (34,6%)
127
100,0


3.2. 

Tháng
1
2
3
4
5
6
7
8
9
10
11
12


15
20
17
10
11
6
8
7
7
9
4
13
127
xuân
háng hè- thu (4, 5, 6, 7, 8, 9, 10, 11)

p<0,001.
.3. chy máu não 

0-2
2-4
4-6
6-8
8-10
10-12
12-14
14-16
16-18
18-20
20-22
22-24

3
7
15
14
21
12
9
2
16
9
13
6
 bnh nhân mc bnh ban ngày t 6gi n 18 gi n s bnh
nhân mc bnh lúc sau 18 gi n 6 gi (53/127) s khác bing kê vi p< 0,05.

3.4.   máu não

n
%

106
83,5

14
11,0

24
18,9

13
10,2

26
20,5
Gut
2
1,6

3
2,4
 lipid
24
18,9

3.5.   máu não


0
1
2
3
4
5
n
10
54
42
12
7
2
%
7,8
42,5
33,1
9,4
5,5
1,6
49,6%
 
Bng 3.6. Triu chng lâm sàng ca bnh nhân chy máu não
578

n
%

122

96,1
Nôn
56
44,1

3
2,4

24
18,9

63
49,6

127
100,0

118
92,9

118
92,9

19
15,0

50
39,4

109

85,8


 hoá máu 

n
%
Glucoza  6,4
57/127
44,9
Cholesteron 5,2
36/93
38,7
Triglycerid  1.9
38/93
40,9
HDL-C < 0,9
15/73
20,5
LDL-C  3,4
16/73
21,9
Na
+
< 125
8/127
6,3

Bng 3.8. v trí chy máu trên phim chup CLVT


n
%

i 
45
35,4
120/127
94,5
Vùng nhân bèo
45
35,4

2
1,6
Nhân bèo- bao trong
3
2,4
Bao ngoài
3
2,4
--
12
9,4
D
- 
4
3,1

5,5


3
2,4

127

100,0

8
6,3


3.9.  

3)
n
%
 5
41
32,3
>5-10
40
31,5
>10-15
13
10,2
>15-20
6
4,7
>20-25
5

3,9
>25-30
8
6,3
>30-35
4
3,1


11,0
>35-40
2
1,6
>40-45
2
1,6
>45-50
4
3,1
>50
2
1,6

127
100,0
579
 
3

3.10. 


3

`

n
n
1,06- 2,0
3
7
2,1-3,13
6
5
3,2-4,22
7
7
4,3-5,7
3
7
5,79-6,9
7
6
6,96-8,4
6
4
8,45-9,6
4
8
9,72-13,06
6

4
13,44-19,20
1
8
19,29-26,28
7
2
27,36-32,50
5
4
33,73-49,98
7
1
51,84-60,8
2
0
T
63 (49,6%)
64 (50,4%)


 




n
%
n
%

n
%
Ri lon ý thc
37
58,7
26
41,3
63
49,6

10
15,6
54
84,4
64
50,4

47
37,0
80
63,0
127
100,0
i liên quan gia tràn máu não tht và ri lon ý thc, s khác bit có ý
ng kê vi p< 0,001.

IV. BÀN LUN
 nhân  





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ch Mai. 
-
2. 

- 
-52
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

4. Johs C.M Brust (1995). Cerebral infarction, Merritts Textbook of Neurology Ninth
Edition 246-257.
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