脑出血早期血肿扩大的相关因素分析

Relevant factor analysis of early hematoma enlargement of cerebral hemorrhage

目的探讨脑出血早期血肿扩大的相关因素。方法对120例脑出血患者进行头颅CT动态观察,并检测凝血功能(APTT、PT)。结果 120例脑出血患者中33例发生早期血肿扩大,发生率27.5%。血肿形态不规则、基底节内侧型出血及丘脑出血、出血量>20ml、凝血功能异常、血压水平高的患者易发生早期血肿扩大,年龄、性别因素同血肿扩大无关。结论脑出血早期血肿扩大同血肿形态、出血部位、出血量、凝血功能异常以及血压水平有关,临床应针对易发因素进行积极防治。

Objective To discuss the factors related to early hematoma enlargement of cerebral hemorrhage.Methods Carry out CT dynamic observation to the skull of 120 patients with cerebral hemorrhage and ispect the coagulation function（APTT,PT）.Results Early hematoma enlargement occurred to 33 out of these 120 patients,with the occurrence rate of 27.5%.As for patients with an irregular hematoma shape,basal ganglia hemorrhage and thalamic hemorrhage,over 20ml of bleeding amount,abnormal coagulation function and high blood pressure level,and vulnerable to early hematoma enlargement,age and sex factors hve no connection with the hematoma enlargement.Conclusion Early hematoma enlargement of cerebral hemorrhage are related with hematoma shape,site and amount of bleeding,abnormal coagulation function as well as blood pressure level,and positive clinical prevention and treatment should be conducted to such risk factors.