視床出血の予後に関与する因子の検討

Factors Affecting Prognosis of Thalamic Hemorrhage

I．はじめに

　視床出血の診断はCTスキャンにより迅速，的確になされるようになったが，急性期において予後を推定する判断基準やその根拠については，これまで明確な結論が出ていないと思われる．そこで急性期において，いかなる因子が視床出血の予後に関与するか検討を行った．

The present study deals with the factors affecting theprognosis in the acute stage of 29 cases with hypertensivethalamic hemorrhage diagnosed by CT scan. It was thoughtthat the following factors were significantly related to theoutcome of the patients who were unable to lead daily life,remained in vegetative state or died.

(1) Consciousness level was below 10 in the so-called3-3-9 formula.

(2) Bilateral Bahinski's signs was observed.

(3) Localization of the hematoma was all the thalamicnuclei type.

(4) Hematoma volume was above 10 ml.