Applicationof"blendsign"onCTpredictingearlyhaematomaexpansioninacuteintracerebralhaemorrhage
10.3969/j.issn.1002-1671.2019.03.001
- VernacularTitle:CT"混杂密度征"预测急性脑出血早期血肿扩大的应用研究
- Author:
Yi LIANG
1
;
Dan ZENG
;
Weiwei YANG
;
Qinghua HU
;
Jingxiong TAO
;
Wenhui FAN
;
Bolin DU
Author Information
1. 长江航运总医院医学影像科
- Keywords:
computedtomography;
intracerebralhaemorrhage;
earlyhaematomaexpansion;
blendsign
- From:
Journal of Practical Radiology
2019;35(3):341-344
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toinvestigatethevalueof"blendsign"onCTtopredictearlyhaematomaexpansioninacuteintracerebral haemorrhage(ICH).Methods SeventyGninepatientswithacuteICH whounderwentbaselineCTscanwithin6hourswereenrolled retrospectively.TheywerealsorecheckedwithCTscanin24hours.Allpatientsweredividedintoearlyhaematomaexpansiongroup and nonGhae m ato m a expansion group according to the change of hae m orrhage volu m e.M ultivariable L o g istic regression analysis w as usedtodetermineindependentriskfactorsofearlyhaematomaexpansion.Results Therewere28cases (35.4%)withhaematoma expansionin79patients."Blendsign"wasobservedin23patientsonbaselineCTscan,16of23 (69.6%)patientsappearedhaematoma expansion.Thesensitivity,specificity,positivepredictivevalue,negativepredictivevalueof"blendsign"forpredictingearlyhaematoma expansion w ere 57.1%,86.2%,69.6%,78.6%.M ultivariable L o g istic regression analysis sho w ed baseline hae m orrhage volu m e and"blendsign"wereindependentlyassociatedwithhaematomaexpansion.Conclusion "Blendsign"canbeusedtopredicthematoma expansioninacuteICH,whichishelpfultoidentifyhighriskpatientswithearlyhaematomaexpansiontomakethetreatmentmore promptlyandaccurately.
