31例自发性脑出血继续出血的临床研究

Clinical analysis of 31 cases of continuous hemorrhage after spontaneous cerebral hemorrhage

目的 探讨自发性脑出血后继续出血的发生时间、影响因素、防治及预后。方法 对214例脑出血患者进行动态CT观察,并结合临床进行分析。结果 继续出血发生率约为14.49％,且多发生在病后24h内;继续出血与收缩压过高、出血部位、血肿形态有关,长期饮酒肝功能损害等因素亦增加其发生率;部位以丘脑及壳核多见。结论 继续出血可导致病情加重,增加死亡率。

Objective To explore the time of occurrence, the influencing factors, prevention, treatment and prognosis of continuous hemorrhage after spontaneous cerebral hemorrhage. Methods The observation of dynamic changes in CT and clinical data were carried out in 214 cases of cerebral hemorrhage. Results The continuous hemorrhage incidence was 14.49% and occurred mostly within 24 hours after cerebral hemorrhage; It was related to systolic pressure, location of hemorrhage and hematom form. Long--term drinking will enhance the continuous hemorrhage incidence as well. Conclusion The continuous hemorrhage may lead to exacerbation of patient's condition and increase death rate.