脑出血临床特点研究

Clinical Features of Cerebral Hemorrhage

目的探讨脑出血发病特点与规律,以进一步提高其诊治水平,减少致残率及病死率。方法分析434例脑出血病人临床表现、辅助检查、治疗结果。结果 81%病例有诱因,发病急,首诊血压明显升高,与同期829例脑梗死病人比较差异明显。近半数病人血糖、白细胞总数及中性粒细胞升高。本组痊愈率及病死率分别为19.8%与16.5%。结论依据高血压或头痛史,突然发病,血压高,则首先考虑脑出血,如伴血糖、白细胞总数及中性粒细胞明显升高,则不仅支持脑出血诊断,且提示预后不良。此外,出血病灶部位、大小,患者意识状态以及肺部感染、消化道出血等并发症亦影响预后。

Objective To investigate the characteristics of cerebral hemorrhage and laws,to further improve the diagnosis and treatment,reduce morbidity and mortality.Methods Retrospective analysis of 434 cases of cerebral hemorrhage clinical presentation,laboratory findings,treatment outcomes.Results 81% of the cases have an incentive,incidence of acute blood pressure was significantly higher first diagnosed with the same period 829 cases of cerebral infarction the difference was significant.Nearly half of the patients blood sugar,leukocytes and neutrophils increased.Cure rate and mortality in this group were 19.8% and 16.5%.Conclusion Based on the history of high blood pressure or headache,sudden onset,high blood pressure and cerebral hemorrhage is the first consideration,such as with glucose,leukocytes and neutrophils significantly increased,then not only support the diagnosis of cerebral hemorrhage,and poor prognosis.In addition,the bleeding lesion site,size,state of consciousness of patients and pulmonary infection,gastrointestinal bleeding and other complications also affect the prognosis.