复发性脑出血的临床分析

Clinical analysis of recurrent cerebral hemorrhage

目的对于复发性脑出血进行临床分析。方法选取本院2008年2月至2009年12月就诊的30例复发性脑出血患者,男21例,30例中10例(33.33%)采用微创颅内血肿清除术,1例(3.33%)采取外科手术治疗,其余19例(63.33%)均内科保守治疗。结果 2次出血患者23例中,有效率为73.91%;3次出血患者6例中有效率为33.33%;4次出血患者1例中,有效率为0%。结论高血压是再发性脑出血最主要的危险因素。再出血的预防关键在于控制高血压病,合理治疗糖尿病、避免情绪波动、便秘等引起血压骤然升高的因素。

Objective To analysis the recurrent cerebra hemorrhage.Methods 30 patients with recurrent cerebral hemorrhage in February 2008 ~ December 2008,21 males,30 cases,10 cases（33.33%）,minimally invasive intracranial hematoma,1 case（3.33 %）to surgical treatment,the remaining 19 cases（63.33%）were treated with medicine.Results 23 cases of hemorrhage,the effective rate was 73.91%;3 hemorrhage in 6 cases showed markedly（33.33%）,the effective rate was 33.33%;4 hemorrhage in 1 case,the effective rate was 0%.Conclusion Hypertension is the most important recurrent risk factors for cerebral hemorrhage.The prevention of rebleeding key is to control hypertension,and reasonable treatment of diabetes,to avoid mood swings,constipation,sudden blood pressure elevation and other factors.