特点 | 未接受重症治疗 N = 192 | 接受重症治疗 N = 42 | P |
年龄(平均值(SD)) | 64.8 (13.5) | 73.1 (14.1) | <0.001 |
性别(%) |
|
| 0.393 |
女性 | 71 (37.0) | 12 (28.6) |
|
男性 | 121 (63.0) | 30 (71.4) | |
出血位置(%) |
|
| 0.849 |
基底节 | 26 (13.5) | 7 (16.7) |
|
丘脑 | 86 (44.8) | 17 (40.5) |
|
脑叶 | 60 (31.2) | 13 (31.0) |
|
小脑 | 18 (9.4) | 4 (9.5) |
|
脑干 | 1 (0.5) | 1 (2.4) |
|
脑室系统 | 1 (0.5) | 0 (0.0) |
|
既往病史(%) |
|
|
|
高血压 | 111 (57.8) | 27 (64.3) | 0.549 |
充血性心力衰竭 | 19 (9.9) | 8 (19.0) | 0.157 |
糖尿病 | 20 (10.4) | 5 (11.9) | 0.994 |
中风病史 | 28 (14.6) | 8 (19.0) | 0.624 |
慢性阻塞性肺病 | 15 (7.8) | 5 (11.9) | 0.579 |
慢性支气管炎 | 3 (1.6) | 2 (4.8) | 0.478 |
生活方式(%) |
|
|
|
吸烟 | 79 (41.1) | 14 (33.3) | 0.445 |
饮酒 | 43 (22.4) | 13 (31.0) | 0.328 |
生命体征 |
|
|
|
体温(平均值(SD)) | 36.57 (0.29) | 36.59 (0.44) | 0.708 |
心率(中位数[IQR]) | 76.00 [70.00, 84.00] | 88.00 [76.25, 97.50] | <0.001 |
呼吸频率(中位数[IQR]) | 20 [18, 20] | 20 [18, 20] | 0.174 |
SBP, mmHg (平均值(SD)) | 164.29 (27.38) | 172.55 (35.91) | 0.097 |
DBP, mmHg (平均值(SD)) | 96.99 (17.12) | 94.95 (19.66) | 0.496 |
RPP (中位数[IQR]) | 12422.00 [10415.50, 14564.75] | 12422.00 [10415.50, 14564.75] | 0.001 |
SpO2 (入院时) % (中位数[IQR]) | 98 [98, 99] | 98 [97, 99] | 0.385 |
SpO2 (24小时内最低) % (中位数[IQR]) | 96 [95, 97] | 94 [90, 96] | <0.001 |
SpO2 (入院后2 h) % (中位数[IQR]) | 98 [98, 99] | 98 [96, 98] | 0.027 |
体格检查 |
|
|
|
GCS评分(中位数[IQR]) | 14 [12, 15] | 9 [6, 13] | <0.001 |
瞳孔直径,mm,(中位数[IQR]) | 3 [3, 3] | 3 [3, 3] | 0.433 |
非对称瞳孔(N (%)) | 9 (4.7) | 8 (19.0) | 0.004 |
瞳孔反射(N (%)) |
|
| <0.001 |
反射消失 | 2 (1.0) | 11 (26.2) |
|
反射迟钝 | 21 (10.9) | 11 (26.2) |
|
反射正常 | 169 (88.0) | 20 (47.6) |
|
神经影像资料 |
|
|
|
血肿体积,ml (中位数[IQR]) | 10.00 [4.00, 27.25] | 32.50 [15.50, 75.75] | <0.001 |
血肿分层(N (%)) | 18 (9.4) | 7 (16.7) | 0.276 |
纵裂消失(N (%)) | 24 (12.5) | 13 (31.0) | 0.006 |
侧裂消失(N (%)) |
|
| <0.001 |
单侧 | 18 (9.4) | 7 (16.7) |
|
双侧 | 4 (2.1) | 6 (14.3) |
|
脚间池消失(N (%)) | 6 (3.1) | 11 (26.2) | <0.001 |
环池消失(N (%)) |
|
| <0.001 |
单侧 | 2 (1.0) | 6 (14.3) |
|
双侧 | 7 (3.6) | 10 (23.8) |
|
脑沟消失(N (%)) |
|
| 0.122 |
单侧 | 45 (23.4) | 13 (31.0) |
|
双侧 | 10 (5.2) | 5 (11.9) |
|
中线偏移,mm (中位数[IQR]) | 0.00 [0.00, 3.70] | 1.40 [0.00, 10.84] | <0.001 |
脑室内出血(N (%)) | 101 (52.6) | 34 (81.0) | <0.001 |
中脑导水管出血(N (%)) | 38 (19.8) | 23 (54.8) | <0.001 |
胸部影像资料 |
|
|
|
渗出性病变(N (%)) |
|
| 0.650 |
≤2肺叶 | 136 (70.8) | 16 (38.1) |
|
≥3肺叶 | 43 (22.4) | 12 (28.6) |
|
支气管内痰液(N (%)) | 19 (9.9) | 5 (11.9) | 0.914 |
胸腔积液(N (%)) |
|
| 0.029 |
少量 | 39 (20.3) | 4 (9.5) |
|
中量–大量 | 0 (0.0) | 1 (2.4) |
|
实验室检查 |
|
|
|
K+, mmol/L (平均值(SD)) | 3.72 (0.43) | 3.66 (0.54) | 0.468 |
Na+, mmol/L (平均值(SD)) | 137.97 (3.98) | 137.80 (4.64) | 0.817 |
Lac, mmol/L (中位数[IQR]) | 2.40 [1.74, 3.09] | 3.34 [1.93, 4.04] | 0.010 |
白蛋白,g/L (平均值(SD)) | 41.86 (5.03) | 39.69 (5.58) | 0.014 |
TBIL, μmol/L (中位数[IQR]) | 10.47 [8.17, 14.00] | 12.38 [9.08, 17.04] | 0.048 |
PAB, g/L (平均值(SD)) | 226.13 (56.24) | 201.36 (64.49) | 0.013 |
Hb, g/L (平均值(SD)) | 136.00 (16.99) | 129.41 (18.97) | 0.027 |
WBC, 109/L (中位数[IQR]) | 8.69 [6.62, 10.88] | 11.47 [7.63, 13.86] | 0.002 |
NEU, 109/L (中位数[IQR]) | 6.61 [5.11, 9.43] | 9.41 [5.71, 12.66] | 0.002 |
LYM, 109/L (中位数[IQR]) | 1.01 [0.69, 1.32] | 0.71 [0.48, 1.25] | 0.014 |
MON, 109/L (中位数[IQR]) | 0.40 [0.30, 0.54] | 0.50 [0.33, 0.68] | 0.032 |
PLT, 109/L (平均值(SD)) | 195.33 (62.49) | 174.99 (69.37) | 0.062 |
CRP, mg/L (中位数[IQR]) | 5.00 [5.00, 5.98] | 9.71 [5.00, 29.81] | <0.001 |
SIRI (中位数[IQR]) | 2.56 [1.50, 4.85] | 5.45 [3.52, 11.28] | <0.001 |
PLR (中位数[IQR]) | 184.73 [138.28, 274.75] | 259.50 [142.70, 330.16] | 0.048 |
NLR (中位数[IQR]) | 6.75 [4.18, 11.48] | 15.64 [7.68, 23.36] | <0.001 |
PT, s (中位数[IQR]) | 13.00 [12.57, 13.53] | 13.50 [12.90, 14.00] | 0.002 |
APTT, s (中位数[IQR]) | 34.45 [32.30, 36.70] | 34.95 [33.00, 36.72] | 0.435 |
Fib, g/L (平均值(SD)) | 3.30 (0.83) | 3.15 (1.03) | 0.322 |
FDP, µg/mL (中位数[IQR]) | 2.13 [1.42, 3.71] | 6.51 [2.24, 26.25] | <0.001 |
D-Dimers, ng/mL (中位数[IQR]) | 260.15 [133.43, 543.09] | 1862.01 [591.29, 3178.32] | <0.001 |