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Journal of The Korean Society of Emergency Medicine 1996;7(1): 26-35. |
| CLINICAL ANALYSIS OF HYPERTENSIVE INTRACEREBRAL HOMORRHAGE |
| Kab Teog Kim, Sang Moon Park, Hwa Sik Song |
| Department of Emergency medicine, Dankuk University Hospital, Chun Ahn. Korea |
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Published online: March 31, 1996. |
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| ABSTRACT |
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A series of 100 cases of hypertensive intracerebral homorrhage (ICH) admitted to Dankuk University Hospital from June 1994 to Mar 1995 was reviewed to assess outcome and its influencing factors.
The Site of hemorrhage gas classified according to their anatomical site on computerized tomography. The outcome was assessed on their basis of activity of daily living at 6 months after attack.
The results were as follows :
1. The age distribution was ranged from fourth decade to nineth decade, and 66% of them was in sixth decade and seventh decade.
2. Putarninal hemorrhage was most freuent(49%), and then followed by thalamic(25%), subcortical (10%), cerebellar(9%), pontine(7%) hemorrhage in order
3. The outcome was very strongly associated with initial Glasgow coma scale(GCS) and compressed finding of basal cisterns in CT. The other prognostic factors were hematoma site, hematomavolume, intraventtricular extension of hemorrhage, and herniation sign.
4. The mortality rate of outcome of consevative treatment and operative treatment was 35% and 56% respectively, But there was not significant statistical difference to outcome.
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| Key words:
Hypertensive intracerebral hemorrhage. Computerized tomography. Glasgow coma scale. Conservativetreatment. Operative treatment |
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