脑出血患者急性期血肿扩大的危险因素临床分析

Clinical analysis of risk factors of hematoma enlargement in patients with cerebral hemorrhage in acute period

目的:探讨脑出血患者急性期血肿扩大危险因素,并给予相应的处理方法。方法:选取郸城县人民医院收治的50例脑出血急性期后未出现血肿扩大者与50例血肿扩大者分别为观察组与对照组,对两组患者临床资料进行比较,分析急性期血肿扩大的危险因素。结果:观察组血压、血肿量、CGS评分、首次出血量、呕吐、肝肾功能差异、甘露醇应用情况、吸烟、饮酒与对照组比较,差异均具有统计学意义(P<0.05)。结论:导致脑出血患者急性期血肿扩大危险因素较多,医护人员在治疗期间要加强监护,采取积极治疗措施减少再出血发生。

Objective ： To investigate the risk factors of hematoma enlargement in patients with cere- bral hemorrhage in acute period, and give appropriate treatment. Methods ： In People＇ s Hospital of Dancheng, 50 cases of acute cerebral hemorrhage not appear hematoma enlargement were selected and 50 with hematoma enlargement as observation group and control group, compared the clinical data of two groups, and analyzed acute hematoma expanding risk factors. Results： The differences of blood pressure, hematoma volume, CGS score, the initial amount of bleeding, vomiting, liver and kidney function difference, mannitol application, smoking, alcohol consumption between two groups were statistically significant（ P 〈 0. 05 ）. Conclusion ： There are a lot of risk factors of cere- bral hemorrhage in patients with acute hematoma expansion, health workers need strength monito- ring during treatment, active measures should be taken to reduce rebleeding.