102例出血性脑梗死诊疗的临床探讨研究

Clinical Medical Research of 102 Cases of Hemorrhagic Cerebral Infarction

目的探讨出血性脑梗死患者临床的发病因素及影响预后的相关因素。方法对我院近期内收治的102例出血性脑梗死患者的临床资料进行回顾性分析,总结出出血性脑梗死患者的有关发病因素及影响患者预后的相关因素。结果影响出血性脑梗死发生的主要因素包括患者的血糖水平、梗死类型和面积及是否接受溶栓治疗等;预后方面,出血转化时间早的患者及血肿型患者与出血转化晚和非血肿型患者比较,具有明显差异(P<0.05)。结论大面积梗死、高血糖及溶栓治疗是引发出血性脑梗死的主要因素,临床面对出血性脑梗死患者时应及早给予个体化的治疗,这样可以改善患者的预后。

Objective To investigate the correlation factors in the pathogenesis of hemorrhage clinical factors in patients with cerebral infarction and prognosis. Methods 102 cases of hemorrhagic infarction in patients with clinical data were retrospectively analyzed in our hospital were summarized in the near future, the hemorrhagic infarction related risk factors and the factors influencing the prognosis. Results The influence factors of hemorrhagic cerebral infarction patients with blood glucose level, including the type of infarction and area and whether or not to accept the thrombolytic therapy; prognosis of hemorrhagic transformation time, early patients and hematoma in patients with hemorrhagic transformation in patients with late and non hematoma, has significant difference （P〈0.05）. Conclusion High glucose and thrombolysis in treating large area infarction are main factors to cause hemorrhagic cerebral infarction, hemorrhagic cerebral infarction clinical face should be treated as soon as possible given the individual, this can improve the prognosis of the patients.