首页> 外文OA文献 >Primary intracerebral haemorrhage in the Jyväskylä region, central Finland, 1985-89: incidence, case fatality rate, and functional outcome.
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Primary intracerebral haemorrhage in the Jyväskylä region, central Finland, 1985-89: incidence, case fatality rate, and functional outcome.

机译:1985-89年,芬兰中部于韦斯屈莱地区原发性脑出血:发生率,病死率和功能性结局。

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摘要

The age and sex specific incidence rates, the case fatality rates, and the functional outcome of patients with primary intracerebral haemorrhage occurring in a population of 116,000 during a period of four years four months are presented. A total of 158 patients were identified, the diagnosis was confirmed in 78% by CT, and in 22% by necropsy. The crude annual incidence rate was 31/100,000 population, the age specific rates increased from two to 222/100,000 from the age of 30-39 to over 80 years. Men had higher incidence rates between the ages of 40 and 79 years. The short term case fatality rate was high, 27% of patients dying during the first day after onset of symptoms, and 50% were dead at 30 days. After the first month the probability of survival did not differ from an age- and sex-matched average population. Large haematoma volume had an adverse effect on the short term, old age (greater than 70 years) on the long term survival. Ventricular extension, especially when combined with hydrocephalus was a bad omen for short term survival. Infratentorial and large basal ganglionic haematomas, and primary intraventricular haemorrhage carried a worse prognosis than haematomas of other locations. At the end of a median 32 month follow up 55 (35%) of the patients were alive, 51% of these were independent in activities of daily living, 45% were dependent on outside help, and 4% needed constant nursing care. Old age (greater than 70 years), but not the haematoma volume or location, was associated with a poor functional recovery.
机译:报告显示了在四年四个月的时间里,116,000名人群中发生的原发性脑出血患者的年龄和性别特定发病率,病死率和功能结局。总共确定了158例患者,CT确诊的比例为78%,尸检确诊的比例为22%。粗略的年发病率为31 / 100,000人口,从30-39岁到80岁以上的年龄特定比率从2上升到222 / 100,000。男性在40到79岁之间的发病率更高。短期病例死亡率很高,在症状发作后的第一天死亡的患者就有27%,在30天时死亡。在第一个月之后,生存的概率与年龄和性别相匹配的平均人口没有差异。大量的血肿对短期,老年(大于70岁)的长期生存有不利影响。心室延长,特别是与脑积水结合使用时,是短期生存的不良兆头。脑下和大型基底神经节血肿以及原发性脑室内出血的预后要比其他地方的血肿差。在中位数的32个月末随访时,有55名(35%)的患者还活着,其中51%的患者独立于日常生活活动,45%的患者依靠外部帮助,还有4%的患者需要持续的护理。老年(大于70岁)而非血肿的数量或位置与功能恢复不良有关。

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