摘要
目的:探讨自发性蛛网膜下腔出血患者住院期间再出血相关因素,以寻求处理措施,降低再次出血的发生率。方法:收治自发性蛛网膜下腔出血后再出血患者33例,对再次出血的原因进行回顾性分析。结果:33例患者住院后再出血因素:睡眠不佳烦躁后出血2例,剧烈活动3例,下床排便用力4例,情绪激动7例,持续高血压17例。剧烈头疼起病,血压升高为主要表现,死亡4例。再出血诱因:血压持续升高,从而引起动脉瘤破口再出血。另外相关引起血压升高的人为因素也是导致再次出血的原因。结论:血压持续升高及相关血压升高的因素均是引发自发性蛛网膜下腔出血患者再次出血的因素。
Objective: To investigate the related factors of spontaneous subarachnoid hemorrhage during hospitalization bleeding to seek treatment measures,to reduce the incidence of bleeding again.Methods: From January 2010-April 2012 treatment of 33 cases of spontaneous subarachnoid hemorrhage after bleeding in patients with the reasons for re-bleeding were retrospectively analyzed.Results: 33 patients hospitalized after the bleeding factors: poor sleep,irritability after hemorrhage in two cases,vigorous activity three cases,four cases out of bed defecation,emotional seven cases,17 cases of sustained hypertension.Severe headache onset,high blood pressure as the main performance,the death of four cases.Rebleeding incentives: the blood pressure continues to rise,causing the aneurysm break rebleeding.In addition the related high blood pressure caused by human factors also lead to bleeding again.Conclusion: The sustained increases in blood pressure and factors relat-ed to high blood pressure are caused by the factors of rebleeding in spontaneous subarachnoid hemorrhage.
