高血压合并脑出血的临床诊治分析

Diagnosis and treatment of patients with hypertensive cerebral hemorrhage

目的探讨高血压合并脑出血的临床诊治特点及相关因素，为临床诊疗及预后提供依据。方法湖北省襄阳市中心医院神经外科自2010年2月至2013年2月收治高血压合并脑出血患者96例，回顾性分析其临床诊治及预后情况。结果96例患者中，好转76例，占79．17％（肢体瘫痪74例，占77．08％）；死亡17例，占17．7l％（其中发病24h内死亡11例，24～72h死亡6例）；自动出院3例，占3．13％。结论高血压合并脑出血患者应根据血肿大小采取相应治疗，预后较好。

Objective To investigate the clinical characteristics and related factors of diagnosis and treatment of patients with hypertensive cerebral hemorrhage, and provide basis for clinical treatment and prognosis. Methods The clinical diagnosis and treatment data of 96 patients with hypertensive cerebral hemorrhage, admitted to our hospital fIom February 2010 to February 2013, were analyzed. Results In all the 96 patients, improvement was noted in 76 accounting for 79.17%, limb paralysis in 74 accounting for 77.08% and death in 17 accounting for 17.71%; death within 24 hours of onset was noted in 11 accounting for 11.46% and within 24-72 hours in 6 accounting for 6.25%. Automatic discharge was observed in 3, accounting for 3.13%. Conclusion Choosing corresponding treatments according to the hematoma sizes in patients with hypertensive cerebral hemorrhage plays important role in improving the prognosis.