进展性高血压脑出血相关因素

The Related Factors for Progressive Hypertensive Intracerebral Hemorrhage

目的研究进展性高血压脑出血的相关因素,为临床筛选高危患者提供依据。方法通过CT检查,比较103例高血压脑出血患者病程中血肿量,分析血肿扩大与年龄、血压、饮酒史、血肿部位、血肿形态、第1次头颅CT距发病时间等因素对进展性高血压脑出血发生的影响。结果103例高血压脑出血患者中,20例出现进展性脑出血,发生率为19.4%,进展性高血压脑出血较未进展者年龄轻、血压高、有饮酒史、第1次头颅CT距发病时间<6h、多发生于丘脑且血肿形态不规则,差别均有统计学意义(P<0.05)。结论进展性高血压脑出血与年龄、饮酒、部位及形态有关,应对高危患者密切观察,病情恶化时复查头颅CT。

Objective To study the related factors for progressive hypertensive intracerebral hemorrhage （PHICH）. Methods The diagnosis of PHICH in a cohort 103 patients was determined by comparing the first and the following CT scans, potential risk factors including the age, blood pressure, drinking histories, location of hematoma, form of hematoma and the duration of admission to the first CT scan were analyzed. Results In this cohort of 103 patients, the PHICH were found in 20 cases （19.4%）. Patients with PHICH had relatively younger age, higher systolic blood pressure and drinking histories. The duration from admission to the first CT scan was shorter. The location of hematoma occurred in almost thalamus, and the form of hematoma was irregular. Conclusion It is necessary to pay more and frequently observation on the patients with high risks and to take rechecking on head CT imagine in time when the illness got worse.