腦出血后遲發(fā)性腦水腫與纖維蛋白原等相關(guān)因素的分析.pdf

1、華中科技大學(xué)碩士學(xué)位論文腦出血后遲發(fā)性腦水腫與纖維蛋白原等相關(guān)因素的分析姓名：黃園園申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：神經(jīng)內(nèi)科指導(dǎo)教師：陳吉相2011-05-19華 中 科 技 大 學(xué) 碩 士 學(xué) 位 論 文 華 中 科 技 大 學(xué) 碩 士 學(xué) 位 論 文 4Abstract Analysis of FIB relevant factors in delayed cerebral edema of cerebral hemorrhage Ob

2、jective ： To observe FIB and other related factors on delayed cerebral edema in cerebral hemorrhage, and to explore related factors impact on prognosis in cerebral hemorrhage. Methods：Analyzed retrospectively the conser

3、vative treatment of 60 cases of acute non-traumatic cerebral hemorrhage in January 2008~ February 2011 Department of Neurology, of which 29 cases complicated with delayed cerebral edema and 31 cases not complicated . Rec

4、orded the general condition of selected patients such as age, sex, clinical characteristics, medical history and complications, and monitored FIB values, blood lipids and other indicators after onset for three consecutiv

5、e weeks, and dynamic observed hematoma and the surrounding low-density changes by head CT during the same period, to analyze related factors on delayed cerebral edema and their relationship with prognosis by single and m

6、ultivariate logistic regression analysis. Result: The results suggest that elevated FIB, hematoma volume, smoking, and hypertension associated with delayed cerebral edema by multivariate logistic regression analysis, an

7、d there are statistically significant differences（P<0.05）. delayed cerebral edema obviously associated with the continuous elevation of FIB（OR=14.93）. COX model of multiple stepwise regression analysis showed that del

8、ayed cerebral edema, persistent elevation of FIB and hypertension influence the prognosis and have an adverse effect on the disease recovery, and the P values were 0.018, 0.024, 0.042. Conclusion: FIB, hematoma volume, s

9、moking, and hypertension closely associated with delayed cerebral edema. Delayed cerebral edema, persistent elevation of FIB and hypertension influenced the prognosis. To analyze delayed cerebral edema in cerebral hemorr