脑出血继续出血的临床研究

Clinical study of continuous hemorrhage after cerebral hemorrhage

目的探讨脑出血继续出血的发生率、发生时间、好发部位及相关因素。方法选择脑出血患者137例,于发病后24h内、24h～7d、8～14d进行动态CT观察,并结合临床回顾性分析。结果脑出血继续出血42例,发生率为30.7%,多发生于24h内,以丘脑多见。继续出血与病后持续高血压、血肿形态、出血部位、长期饮酒、肝病史及抗凝治疗有关。结论继续出血是脑出血患者早期病情加重及死亡的重要原因。

Objective To explore the time of occurrence,incidence, predilection site and influencing factors of continuous hemorrhage after intracerebral hemorrhage. Methods The dynamic changes in CT were observed 24 h,from 24 h to 7d ,from 8 to 14d after bleeding occur in 137 cases ,and the clinical data were analyzed retrospectively. Results 42 cases（30.7% over all cases） had a continuous hemorrhage. The continuous hemorrhage occurred mostly winthin 24 h after cerebral hemorrhage and was located mostly in putamen and thalamus. The continuous hemorrhage after cerebral hemorrhage is related to factors as continuous hypertension after disease, shape of hematoma, bleeding site, chronic alcohol drinking, hepatitis history and taking of aspirin. Conclusion The continuous hemorrhage is an important factor leading to deterioration or death.