40例出血性脑梗死临床分析

Clinical Analysis of 40 Cases of Cerebral Hemorrhage

目的探讨出血性脑梗死的发病因素。方法回顾分析本院5年来收住的962例脑梗死病人的临床资料。结果脑梗死后出血与大面积梗死、合并房颤、高血压、既往中风病史、年龄、高血糖有关,而与患者的性别、病前是否长期使用抗血小板药物、口服抗凝剂,病后是否使用溶栓、抗凝、抗血小板药物等无关。结论对大面积梗死、合并房颤、高血压、高血糖的病人宜密切动态观察,注意梗死后出血的可能,及时复查头颅CT/MRI以调整治疗方案。

Objective To investigate the incidence of cerebral hemorrhage of factors. Methods Retrospective analysis clinical data of 962 eases of cerebral infarction patients in 5 years .Results cerebral hemorrhage After infarction have relations with large meas of infarction, atrial fibrillation, high blood pressure, previous history, of stroke, age, high blood sugar, while it have no relations with sex, long-term use of anti-platelet drugs before the disease, oral anticoagulants, using the solution Shuan, anticoagulant, anti-platelet drugs after the disease. Conclusion The patients with large areas of infaretion,or atrial fibrillation,or high blood pressure, or high blood sugar should be closely observed the dynamic, attention to the possibility of bemorrhagic infarction, timely reviewing head CT / MRI and adjusting the treatment program.