脑出血死亡病例116例临床死因分析

目的:对脑出血病例的临床特点及死亡原因分析,从而找出有效的诊治方法,尽量减少病死率。方法:采用回顾性分析脑出血病例资料,分析116例死亡病例的死亡原因及危险因素。结果:老年人死亡率高,其中≥60岁死亡率为74.13%。有高血压病史及合并心脏病变死亡率分别占81.03%和和58.48%。死亡组比较有统计学意义(P<0.05)。其中脑干出血、出血量大于50ml、严重意识障碍、脑疝形成、未手术治疗及并多脏器功能衰竭死亡率最高。结论:有高血压病史及合并心脏病变脑出血临床死亡率最高;脑出血部位、出血量、人院时意识状况、高血压、是否手术治疗及否合并多脏器功能衰竭是脑出血死亡的主要危险因素。

Objective： Analysis of Cases of cerebral hemorrhage clinical characteristics and death cause, so as to find out effective treatment methods, try to reduce mortality. Methods： Using statistical methods retrospectively. Analysis of causes of death and risk factors in 116 Cases of cerebral hemorrhage. Results： Old mortality is high, 74. 13% mortality rate for older than 60 years. A history of hypertension and heart disease mortality accounted for merger 81.03% and 58.48%. In death group is statistically significant （ P 〈 0. 05 ）. Among the rates are highes tthan Brainstem bleeding,the bleeding is greater than 50ml, serious obstacle, cerebral hernia formation, not surgical treatmentand multiple organ failure. Conclusions：The history of hypertension and heart disease are highest of cerebral hemorrhage clinical deaths; The major risk factors for cerebral hemorrhage, Include of cerebral hemorrhage, cerebral quantity, Serious consciousness obstacle, hypertension, whether surgery and multiple organ failure.