早期血肿扩大型高血压脑出血30例报告

Early hematoma enlargement in hypertensive intracerebral hemorrhage (report of 30 cases)

目的 :探讨高血压脑出血早期血肿扩大的发生原因、危险因素及防治措施 ,以提高该病的诊疗水平 ,减少其死亡率。方法 :分析 30例早期血肿扩大型高血压脑出血病人的临床资料和头颅CT。结果 :早期血肿扩大组(A组 )MAP高于非血肿扩大组 (B组 ) (t=3 6 8,P <0 0 1) ,A组有长期饮酒史 ,血肿形态不规则者多于B组 (χ2 =4 2 2 ;P <0 0 5;χ2 =9 83,P <0 0 1) ,长期服抗凝剂 ,慢性肝病者两组间无差异。结论 :对有血肿扩大可能的高血压脑出血病人 ,要严密观察病情变化 ,及时复查CT 。

Objective:To elaborate the reason, dangerous factors and preventives of early hematoma enlargement in hypetensive intracerebral hemorrhage,in order to increase diagnostic and therapeutic level,and to reduce mortality.Methods:To analyze the clinical data and photographs of brain CT of 30 patients with early hematoma emlargement.Results:The mean arterial pressure(MAP) of hematoma enlargement group(A group)is significantly higher than that of hematoam noenlargement group(B group)(t=3 68,P<0 01).The numbers of patients with long-term excessive drinking history and irregular shape hematoma are significantly different between two groups(χ 2=4 22,P<0 05;χ 2=9 83,P<0 01),but the numbers of patients having long-term taking anticoagulant and chronic hepatopathy history are no significantly difference.Conclusion:[WT5,5”BZ]For patients with probable hematoma enlargement,we should closely observe their conditions and in time countercheck CT and take measure early.