重症出血性脑梗死相关危险因素研究

目的探讨重症出血性脑梗死患者的发生、发展、相关危险因素及临床诊治方法，提高临床诊治水平。方法回顾性分析我院2005年1月至2009年6月收治的43例重症出血性脑梗死患者的，临床资料。结果本组43例患者经过临床治疗好转37例，死亡6例，其中3例死于脑疝，2例死于多脏器衰竭，1例死于心肺功能不全，死亡率为13．9％；其中内科保守治疗38例，外科手术治疗5例；好转37例患者住院时间18～62d，平均31．4d。结论重症出血性脑梗死患者病情发展迅速、转变快、死亡率高，CT及MRI检查是重要辅助确诊手段，而在急性期进行及时的降低颅内压和脑神经保护措施对降低死亡率、改善患者预后十分重要。

Objective To studypatients with severe hemorrhagic cerebral infarction occurrence and development of risk factors and clinical methods to improve the level of clinical diagnosis and treatment.Methods A retrospective analysis of our hospital from January 2005-June 2009 43 patients were admitted with severe hemorrhagic cerebral infarction in patients with clinical data.Results 43 patients,37 patients improved after clinical treatment,6 died,3 died of cerebral hernia,2 patients died of multiple organ failure,1 patient died of cardiopulmonary failure,mortality rate was 13.9%;which 38 cases of conservative treatment, surgical treatment in 5 cases;hospital stay 37 patients improved 18-62d,an average of 31.4d.Conclusion Patients with severe hemorrhagic cerebral disease progression is rapid,change fast,high mortality,CT,MRI is an important supplementary means of diagnosis,and timely in the acute phase of increased intracranial pressure and brain protection measures to reduce mortality,improve the prognosis of patients is very important.