脑出血后继续出血及危险因素

A study on hematoma enlargement and its dangerous factors after intercerebral hemorrhage(ICH)

目的 探讨脑出血后继续出血发生率、发生时间、危险因素与预后。 方法 对 72例脑出血患者于入院后 2 4小时内 ,1周、2周及第 4周作CT动态观察 ,并与临床进行分析。 结果 继续出血发生率为 2 7 78% ,继续出血发生在 2 4小时内占 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、年龄、血压明显增高、长期饮酒、服用阿司匹林有关 ,它们可能是继续出血的危险因素。继续出血的患者预后差。 结论 继续出血是使病情加重或死亡的主要因素 ,应进行积极干预。

Objective To study the incidence,occurrence time,dangerous factors and prognosis of hematoma enlargement after ICH. Methods A dynamic evolution of the hematoma enlargement in 72 patients with ICH was observed by CT within 24 hours and at one week,two weeks and four weeks after admission,and then the retrospective analysis of the clinical features was made. Results The incidence of hematoma enlargement was 27.78%.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 disease,taking aspirin,pretty high blood pressure,drink wine over a long-period of time.They may be the dangerous factors of hematoma enlargement.The prognosis was unfavourable. Conclusion Hematoma enlargment is an important factor to lead to deterioration or death.We should correct actively the dangerous factors if possible.