脑出血继续出血临床分析

Clinical Analysis of Continued Bleeding after Cerebral Hemorrhage

目的探讨脑出血继续出血的临床特征。方法选取2011年2月—2013年2月该院收治的脑出血继续出血患者120例进行回顾性分析,并选取同期脑出血非继续出血患者60例作为对照。结果继续出血患者的收缩压、舒张压明显高于脑出血非继续出血患者(P<0.05);血肿扩大与收缩压有显著相关性,与舒张压无显著相关性;继续出血主要发生在并发后7 h内,发病部位主要为脑叶和基底节;经过治疗后继续出血组痊愈率明显低于非继续出血组(P<0.05),死亡率明显高于非继续出血组(P<0.05)。结论脑出血继续出血临床特征的准确认识,有利于脑出血继续出血临床治疗方案合理性和准确性的提高。

Objective To investigate the clinical features of continued bleeding after cerebral hemorrhage. Methods The clinical data of 120 cases of patients with continued bleeding after cerebral hemorrhage admitted in our hospital from February, 2011 to February, 2013 were analyzed retrospectively. And 60 patients with non-continued bleeding after cerebral hemorrhage during the same period were selected as controls. Results The systolic pressure and diastolic pressure of the patients with continued bleeding were significantly higher than those of the patients with non-continued bleeding （P〈O.05）; hematoma enlargement was significantly associated with systolic pressure, but was not significantly correlated with diastolic pressure. Continued bleeding occurred mainly within 7h after the cerebral hemorrhage, the diseased parts mainly were cerebral lobes and basal ganglia. After the treatment, the cure rate of continued bleeding group was significantly lower than that of non-continued bleeding group（P〈0.05）, the mortality was obviously higher than that of non-continued bleeding group （P〈O.05）. Conclusion Correct understanding of the clinical features of continued bleeding after cerebral hemorrhage is conducive to improve the rationality and accuracy of clinical treatment for the disease.