100例脑出血的临床分析

Clinical Study on 100 Patients with Cerebral Hemorrhage

目的 探讨影响脑出血的预后因素。方法 收集本市综合医院收治的脑出血病人100例,均查尿素氮、肌酐、总胆固醇、甘油三酯、空腹血糖、心电图、脑电图、头颅CT,腰穿61例。结果 1.有高血压史和糖尿病史分别为59％和31％;2.基底节、丘脑、小脑、蛛网膜下腔等部位出血占死亡病例71.4％,继发性脑室出血占33.3％;3.有心电图改变、肺炎、胃肠出血、肾功损害者,其病死率分别为34.1％、57.1％、59.0％和21.7％。结论有高血压史或合并糖尿病史是诱发脑出血的重要因素。基底节、脑叶、丘脑、小脑、继发性脑室出血是主要死因。肺炎、胃肠出血是诱发死亡的主要诱因。

Objective To explore the influencing factor of prognosis of cerebral hemorrhage. Methods To collect 100 patients with cerebral hemorrhage in the Martemity and Children Health Care Hospital in Sihui City and to examine their urine nitrogen, creatinine, total cholesterol, triglycerides, FPG, electrocardiogram, electroencephalogram, brain CT, 61 patients of them done lumbar puncture. Results 1. 59, and 31% patients are conformed having history of hypertension and diabetes mellitus respectively.2. In all death cases, the proportion of death caused by hemorrhage of the parts nuclei basales、 thalamenceghaloru cerebellum、 arachnoid is 71.4%. 3. In the patients, 34.1%, 57.1%, 59% and 21.7% are identified the mortality rate with the change of electrocardiogram 、pneumonia、 gastric - intestinal hemorrhage and kidney damage respectively. Conclusion It is important factors for causins cerebral hemorrhage that have the history of hypertension and diabetes mellitus; it is the major factor result in death that suffer nuclei basales, thalamenceghalon, cerebellum, second ventricle hemorrhage; The major causins death factor are having pneumonia and gastric - intestinal hemorrhage.