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題 名 | Prognosis of Spontaneous Intracerebral Hemorrhage in Hemodialysis Patients=血液透析病人自發性腦出血的預後 |
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作 者 | 林志隆; 關皚麗; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 15:8 1999.08[民88.08] |
頁 次 | 頁484-490 |
分類號 | 416.291 |
關鍵詞 | 血液透析; 自發性腦出血; Cerebral hemorrhage; Hemodialysis; Outcome; |
語 文 | 英文(English) |
中文摘要 | 在八年間我們共收集32位因慢性腎衰竭而需常期接受血液透析的自發性腦出血病人,在出血後6個月以日常生活活動(ADL)來評估病人的預後。總體死亡率為64%。存活的12位病人中,沒有人可回復到ADL第一級,五位回復到第二級,四位第三級,一位第四級,二位第五級。高達 91%的病人有高血壓的病史。 入院時病人昏迷指數(Glasgow coma scale)有八位為15分,10位在8至14分,14位少於8分。與不良預後有關的因子包括:入院時較差的昏迷指數、年齡超過65歲,及血糖大於200 mg/dl。其他因子如性別、中風、高血壓及糖尿病、心肌梗塞病史、出血部位、血液透析時間、治療方式及血液生化檢查(尿素氮、肌酸酉于、血小板數、血紅素、凝血酉每原時間及部分凝血活素時間)與預後無統計學上的相關。本研究更確定血液透析病人有腦出血其預後極差。對於此類病人, 血糖控制極為重要,以期降低其高死亡率及改善預後,尤其是在年齡超過65歲的病人。 |
英文摘要 | During an 8-year period, 32 consecutive patients with chronic renal failure on maintenance hemodialysis were diagnosed to have cerebral hemorrhage. The outcome was determined using the activity of daily life (ADL) at 6 months after hemorrhage. The overall mortality was 64%. Of the 12 surviving patients, no one made a good recovery (back to normality), 5 recovered to ADL grade Ⅱ, 4 to grade Ⅲ, 1 to grade Ⅳ, and 2 to grade Ⅴ. Up to 91% of the patients had a history of hypertension. On admission, Glasgow coma scale (GCS) was 15 in 8 cases, 8-14 in 10, and below 8 in 14. The poor prognostic factors showing statistical significance included a poor admission GCS, age above 65 years, and blood sugar level of more than 200 mg/dl. Other factors which apparently were not related to the outcome included sex, history of stroke, acute myocardial infarction, hypertension, and diabetes mellitus, the locations of hemorrhage, the duration of hemodialysis, treatment modality (surgery vs non-surgery), and the laboratory data (blood urea nitrogen, creatinine, platelet count, hemoglobin, prothromin time, and partial thromboplastin time). This study confirmed a poor prognosis for hemodialysis patients with cerebral hemorrhage. More attention should be paid to the control of blood sugar in this group to improve the outcome of cerebral hemorrhage in hemodialysis patients, especially in elderly patients with poor admission GCS. |
本系統中英文摘要資訊取自各篇刊載內容。