摘要
[目的]探讨蛛网膜下腔出血(SAH)再出血的危险因素及诱发因素。[方法]78例蛛网膜下腔出血患者住院治疗并随访观察6个月,对31例再出血的SAH患者(病例组)与无再出血的47例SAH患者(对照组)的有关危险因素进行比较。[结果]78例SAH的再出血率是39.7%;再出血组发病年龄﹥60岁,Hunt-Hess分级Ⅲ级及以上、伴高血压、动脉瘤、入院时间﹥24 h的比率均高于对照组。[结论]发病年龄﹥60岁、Hunt-Hess分级Ⅲ级及以上、伴高血压、动脉瘤、入院时间﹥24 h是SAH患者再出血的危险因素。预防再出血需注意控制危险因素,避免诱发因素。
[ Objective] To explore the risk factors and causative factors of rebleeding in subarachnoid hemorrhage. [ Methods ] 78 patients who survived the subarachnoid hemorrhage were followed up for 6 months after the bleeding. The risk factors were compared between the two groups of 31 cases with rebleeding （rebleeding group）, and 47 cases without rebleeding （control group）. [ Results] The rebleeding rate of the 78 patients was 39.7%. The percentage of which patients had the risk factors of being over 60, grade Ⅲ and above of Hunt-Hess grade, hypertension, aneurysm, admission over 24 hours after the first attack in the rebleeding group was higher than that in the control group. [Conclusion] Being over 60 years old, grade Ⅲ and above of Hunt-Hess grade, hypertension, aneurysm, admission over 24 hours after the first attack are the risk factors of rebleeding in subarachnoid hemorrhage. The prevention of rebleeding is to control the risk factors and avoid the causative factors.
出处
《现代预防医学》
CAS
北大核心
2007年第15期2981-2982,共2页
Modern Preventive Medicine
关键词
蛛网膜下腔再出血
原因
预防
Rebleeding in subarachnoid hemorrhage
Causes
Prevention
