脑出血患者早期出血量增加与预后的关系

Relation between the increase of bleeding volume and the outcome in patients with cerebral hemorrhage at the early stage

目的:探讨影响脑出血患者早期出血量增加的因素以及出血量增加与疾病预后的关系。方法:将132例分为出血增加组及出血未增加组,分析各组病情与预后。结果:64例出血量增加组经治疗后病死26例,68例出血量未增加组经治疗后病死11例(P<0.005)。结论:脑出血早期病情恶化病死率高,导致早期病情恶化的因素主要是出血量增加,而出血量增加与血压、长期服用阿司匹林等有关。

Objective：To investigate the correlation between the increase of bleeding volume in patients with intracerebral hemorrhage（ICH）at the early stage and the outcome.Methods：The clinical data of 132 patients with ICH were divided into two groups：the group with increased bleeding volume and the group with unchanged bleeding volume.Results：Twenty-six of the 64 cases died in the increased hemorrhage group and 11 of 68 cases died in the unchanged hemorrhage volume group（P〈0.005）.Conclusions：The death rate is high in the early stage of ICH.The reason for death is the increase of bleeding volume,which is relevant to hypertension,regular administration of aspirin and so on.