在患有异常凝血的患者中,创伤性脑内出血的三维生长
Jakob Rossmann1, Johannes Falter2, Julius Höhne3
1Neurosurgery, Paracelsus Medizinische Privatuniversitat - Nurnberg, Nurnberg, Germany.
概括
患有创伤性脑内出血 (tICH) 和异常凝血的患者表现出明显更高的出血增长率. 重复的CT扫描对于监测患有凝血障碍的患者的tICH进展至关重要.
科学领域:
- 神经学 神经学
- 放射学 放射学是指放射学
- 血液学 血液学 血液学
背景情况:
- 创伤性脑内出血 (tICH) 的管理需要仔细监测.
- 凝血状态可能会影响出血的进展.
研究的目的:
- 为了比较正常与异常凝血患者的tICH体积增长.
- 评估所有tICH患者连续CT扫描的必要性.
主要方法:
- 50名tICH患者CT扫描的回顾性分析.
- 在入院,48小时和2周后测量出血量.
- 通过标准测试定义的异常凝血,包括XIII因子.
主要成果:
- 在56%的患者中检测到出血增长.
- 90%的异常凝血患者显示ICH体积增加,而正常凝血患者的比例为33.34%.
- 与正常组 (0.1毫升) 相比,异常凝血组 (8.52毫升) 的平均增长明显高于正常组 (0.1毫升).
结论:
- 患有tICH和凝血异常的患者容易发生大量的出血增长.
- 重复的CT扫描是必要的监测tICH在患有凝血障碍的患者.
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