首次脑梗死后再出血意外43例分析

Cerebral hemorrhage accident after the first cerebral infarction in 43 cases

目的:探讨首次脑梗死后再出血的临床特点以及治疗方法。方法:对本院2004年6月～2008年6月收治的首次脑梗死后发生出血的患者43例的临床资料进行回顾性分析,总结其临床表现、出血部位、出血时间及CT特征,该组患者均给予脱水、脑细胞保护剂、神经营养剂等治疗措施。结果:经过本院积极的对症治疗,该组患者治愈20例,显著进步11例,进步7例,总有效率为88.4%。结论:再出血在脑梗死第1、2周的发生率较高,在此期间要加强脑梗死患者的观察,以及时诊断和调整治疗方案。

Objective：To explore the clinical features and treatment of rehaemorrhagia after the first cerebral infarction.Methods：To analyze clinical data of 53 patients who rebleeding after the first cerebral infarction from June 2004 to June 2008 retrospectively,and summarized the clinical manifestations,bleeding sites,bleeding time and CT features,patients of this group were treated with dehydration,protective agents of brain cells,neurotrophic agent et al.Results：After positive treatment,patients in this group cured 20 cases,significant progress in 11 cases,progress in 7 cases,the total effective rate was 88.4%.Conclusion：Incidence of rehaemorrhagia is high during the first or secend week of cerebral infarction during which we should strengthen the observation of patients with cerebral infarction,and then timely diagnosis and adjust treatment plan.