脑出血继续出血的影响因素分析  

The analysis of the influencing facts of continuous hemorrhage after cerebral hemorrhage

作　　者：洪潮鑫[1] 梁文贤[1] 方鹏[1] 王合森[1] 

机构地区：[1]深圳市龙岗区人民医院,广东深圳518172

出　　处：《临床医药实践》2006年第7期486-488,共3页Proceeding of Clinical Medicine

摘　　要：目的：探讨脑出血继续出血的影响因素和发病时间、发生率、临床表现及预后。方法：309例脑出血患者进行动态CT检查，对血肿净增比例≥33％以上者，结合临床表现进行影响因素的分析。结果：脑出血继续出血发生高峰在6～12h之间，24h后发生率显著降低；在血压升高、患伴发疾病者明显多于对照组（P〈0．005，P〈0．001）；丘脑部位血肿、不规则血肿易发生继续出血。年龄、性别、长期饮酒两组比较差异无显著性。结论：血压、肾功能异常、糖尿病、止凝血功能异常、长期服用阿司匹林是脑出血继续出血的重要危险因素，与出血部位、血肿形态有显著相关性，与年龄、性别无关。Objective：To study the influencing factors ,the time of occurrence ,occurring rate ,clinical behave and prognosis of continuous hemorrhage after cerebral hemorrhage. Methods：The observation of dynamic change in CT was carried out in 309 cases of cerebral hemorrhage and clinical analysis of the influence factors were carried out for the patients whose hematoma net increasing proportion were equal to or more than 33 %. Results ：The occurring summit of continuous hemorrhage was from 6 h to 12 h after cerebral hemorrhage and occurring rate obviously decreased after 24 h. The amount of patients whose blood pressure increased and who had other disease was obviously more than that of the control group （P〈0. 005,P〈0. 001）. Hematoma located in the thalamus and irregular hematoma occurred easily continuous hemorrhage. There were no different in the two groups on age ,sex ,drink. Conclusion ：The important and dangerous factors of continuous hemorrhage after cerebral hemorrhage were blood pressure ,abnormal renal function,diabetes,abnormal coagulation function and chronically taking aspirin. The important and dangerous factors of continuous hemorrhage after cerebral hemorrhage were obviously related to the bleeding location and hematioma shape and were not related to age and sex.

关 键 词：脑出血 继续出血 影响因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]