邢玉洁,鲍海华

自发性脑出血（s-ICH）在我国的发病率低于缺血性脑卒中，然而其病死率和致残率却显著高于缺血性脑卒中，因此早期预测临床预后可为临床个体化治疗决策提供依据，从而提高患者生存质量。传统的预后预测方法虽在过去得到广泛应用，但近年来兴起的机器学习、深度学习及影像学组学模型在预后评估领域展现出更为显著的成效。本文旨在综述评估s-ICH预后方面的应用与进展，以期为临床预后的评估提供多维视角和方法论支持。

自发性脑出血；预测模型；预后；体层摄影术，X线计算机

[1] Qureshi AI,Mendelow AD,Hanley DF.Intracerebral haemorrhage.Lancet.2009.373(9675):1632-44. [2] Zyck S,Du L,Gould G,et al.Scoping Review and Commentary on Prognostication for Patients with Intracerebral Hemorrhage with Advances in Surgical Techniques.Neurocrit Care.2020.33(1):256-272. [3] Macellari F,Paciaroni M,Agnelli G,Caso V.Neuroimaging in intracerebral hemorrhage.Stroke.2014.45(3):903-8. [4] Okauchi M,Xi G,Keep RF,Hua Y.Tissue-type transglutaminase and the effects of cystamine on intracerebral hemorrhage-induced brain edema and neurological deficits.Brain Res.2009.1249:229-36. [5] Hostettler IC,Seiffge DJ,Werring DJ.Intracerebral hemorrhage:an update on diagnosis and treatment.Expert Rev Neurother.2019.19(7):679-694. [6] Ferro JM.Update on intracerebral haemorrhage.J Neurol.2006.253(8):985-99. [7] Li Q,Zhang G,Huang YJ,et al.Blend Sign on Computed Tomography:Novel and Reliable Predictor for Early Hematoma Growth in Patients With Intracerebral Hemorrhage.Stroke.2015.46(8):2119-23. [8] New PF,Aronow S.Attenuation measurements of whole blood and blood fractions in computed tomography.Radiology.1976.121(3 Pt.1):635-40. [9] Yang WS,Shen YQ,Wei X,et al.New Prediction Models of Functional Outcome in Acute Intracerebral Hemorrhage:The dICH Score and uICH Score.Front Neurol.2021.12:655800.

点击下载PDF