31例重型肝炎合并脑出血的临床分析

Clinical Analysis of 31 Cases of Severe Hepatitis Complicated With Cerebral Hemorrhage

目的探究重型肝炎合并脑出血的临床特征。方法回顾性分析近年花都区人民医院收治的31例重型肝炎合并脑出血患者的临床资料。结果突然剧烈头疼和呕吐居多,分别占64.5%和48.4%,夜间及凌晨发生率为80.6%;均有不同程度肝功能异常;经综合治疗后存活率25.8%。结论重型肝炎并发脑出血病情危重,预后较差,临床需早期纠正出血倾向,并进行综合诊断治疗。

Objective To explore the clinical characteristics of severe hepatitis complicated with cerebral hemorrhage. Methods A retrospective analysis of 31 cases of severe hepatitis in recent years in our hospital, the clinical data of patients with cerebral hemorrhage. Results The sudden severe headache and vomiting are, respectively, accounted for 64.5% and 48.4% , and at night the occurrence rate was 80. 6% ; in varying degrees of abnormal liver function after comprehensive treatment; the survival rate was 25.8%. Conclusion Severe, severe hepatitis complicated with cerebral hemorrhage and poor prognosis, early correct clinical bleeding tendency, and make a comprehensive diagnosis and treatment..