出血性脑梗死的临床分析

Clinical Analysis of Hemorrhagic Cerebral Infarction

目的探讨出血性脑梗死(HI)临床特征危险因素和防治对策。方法回顾性分析既往收治的HI患者35例临床资料,进行描述性统计分析以及对比分析。结果确诊HI占同期收治脑梗死患者12.4%;基本治愈4例,显著好转6例,好转3例,无变化3例,死亡6例,有效13例。结论应重点关注送院时间较晚、大面积梗死、梗死区血供丰富的急性脑梗死患者,及时行CT、症状观察,发现血肿与颅内压增高症状表现,及时处理血肿,降低继发出血风险。

Objective To investigate the cerebral hemorrhagic infarction（HI）risk factors and Prevention Countermeasures of clinical characteristics.Methods Retrospective analysis of the clinical data of 35 cases of HI patients with previously treated,descriptive statistical analysis and comparative analysis.Results Diagnosis of HI accounted for about 12.4% over the same period of patients with cerebral infarction;4 cases were basicaly cured,significant improvement in 6 cases,improvement in 3 cases,no change in 3 cases,death in 6 cases,effective 13 cases.Conclusion In patients with acute cerebral infarction should focus on the hospital late,large area of infarction,infarction area with rich blood supply,the observation time for CT,symptoms,found increased symptoms of hematoma and intracranial pressure,the timely processing of hematoma,reduce the risk of hemorrhage.