脑出血后继续出血的临床研究  

Clinical study on recurrent hemorrhage after intercerebral hemorrhage

作　　者：徐军[1] 

机构地区：[1]黑龙江省海伦市人民医院,黑龙江海伦152300

出　　处：《中国当代医药》2011年第16期47-48,共2页China Modern Medicine

摘　　要：目的:探讨脑出血后继续出血的发生率、发生时间、相关因素及预后。方法:选择2009年1月～2011年1月本院206例脑出血患者,对其入院后24 h内、1周内、2周内作头颅CT动态观察,并结合临床资料进行分析。结果:脑出血后继续出血的发生率为19.42%,发生时间在24 h内者占57.50%。继续出血与既往史、长期饮酒和服用阿司匹林有关,而与血压及发病年龄无关。出血部位以丘脑多见。继续出血患者死亡率高。结论:继续出血是导致脑出血患者病情加重和死亡的主要因素。Objective： To study the incidence, occurrence time, relevant factors and prognosis of recurrent hemorrhage after intercerebral hemorrhage （ICH）. Methods： Slected 206 patients with ICI-1 from January 2009 to January 2011, who were observed by CT within 24 hours and at one week, two weeks after admission, and then the retrospective analysis of the clinical features was made. Results： The incidence of hematoma enlargement was 19.42%. The rate of its occurrence within 24 hours was 57.50%. Recurrent hemorrhage was related to past medical history, and also drinking wine and taking aspirin. But had no relation to blood pressure and age. The main bleeding part was thalamencephalon. And recurrent hemorrhage had high mortality. Conclusion： Recurrent hemorrhage is an important factor to lead to deterioration or death. [K

关 键 词：脑出血 继续出血 头颅CT 临床研究 

分 类 号：R743.34[医药卫生—神经病学与精神病学]