脑出血后继续出血及危险因素探讨

Study of hematoma enlargement and dangerous factors after intracerebral hemorrhage(ICH)

目的 :探讨脑出血后继续出血发生率、发生时间、危险因素和预后。方法 :对 92例脑出血患者于入院后 2 4h内、1周、2周及第 4周作CT动态观察 ,并结合临床资料进行分析。结果 :继续出血发生率为 2 7.2 % ,继续出血发生在 2 4h内占 6 0 %。继续出血部位以丘脑最多见 ,不规则型血肿易发生继续出血。继续出血与慢性肝病、长期饮酒、服用阿司匹林、年龄、血压明显增高有关 ,它们可能是继续出血的危险因素。继续出血的患者预后不良。结论 :继续出血是导致病情加重或死亡的重要因素 ,应对可干预的危险因素进行积极干预。

Objective: To study the incidence ,occurrence time, dangerous factors and prognosis of hematoma enlargement after ICH. Methods: To take dynamic observation of CT on 92 patients with ICH within 24 hours and at one week, two weeks and four weeks after admission, then to make analysis with the clinical data. Results:The incidence of hematoma enlargment was 27.2%. The rate of its occurrence within 24 hours was 60%. Thalamus was the most frequent site of that. It was often to bleed continually at the hematoma in irregular shape. Hematoma enlargement had relation to age, chronic hepatic diseases, taking asprin, pretty high blood pressure, drinking wine over a long-period of time. They maybe the dangerous factors of hematoma enlargement. The prognosis was poor. Conclusions: Hematoma enlargement is an important factor to lead to deterioration or death. We should intervene actively the dangerous factors if possible.