蛛网膜下腔出血再出血的原因与预防

The Prevention and Causes of Subarachnoid Hemorrhage

目的:通过对127例蛛网膜下腔出血(SAH)入院的患者,41例病人再出血的原因进行临床分析,探讨其临床预防措施。方法:本文对41例SAH患者再出血的原因进行回顾性分析,分析SAH再出血的危险因素,针对这些病因,提出有效预防措施。结果:诱发SAH再出血的危险因素:用力排便为31.7%;过早下床活动为24.4%;情绪激动为17.1%;并发症为21.9%;其他为4.9%。结论:SAH患者通过控制情绪激动,防止便秘,避免早期下床活动,防治感染,可有效预防再出血。

Objective： 127 SAH patients, including 41 cases happened to bleed again, were analysed the causes to bleed again, to find out the preventive measures bleed again. Methods： Clinical materials of 41 again the bleeding patients were retrospectively analyzed. We found the risk factors, and put forward effective the preventive measures. Result： The risk factors rebleeding include having a hard bowel（31.7% ） ,early to bed under activities （24.4% ）, emotional excitement （ 17.1% ） , complication （ 21.9% ）, the othes （4. 9% ）. Conclusion： SAH patients can effectively prevent rebleeding by managing the emotions, preventing constipation, avoiding early activities, preventing and controlling infection.