急性脑梗死静脉溶栓治疗后继发脑出血的危险因素研究  

Risk factors of cerebral hemorrhage after intravenous thrombolysis in acute cerebral infarction

作　　者：侯帮发[1] Hou Bangfa(Yanqi Hospital of the Second Division of Xinjiang Production and Construction Corps 841100)

机构地区：[1]新疆生产建设兵团第二师焉耆医院,841100

出　　处：《中国社区医师》2017年第3期10-10,12,共2页Chinese Community Doctors

摘　　要：目的:探讨急性脑梗死静脉溶栓治疗后继发脑出血的危险因素。方法:收治急性脑梗死患者170例,回顾性分析其临床资料。结果:静脉溶栓治疗后,170例患者中,继发脑出血34例(20.0%)。继发脑出血与未继发脑出血患者在性别、年龄、血小板计数、血糖、平均动脉血压、是否并发高血压、高血脂方面,差异无统计学意义(P>0.05)。在溶栓前ESS评分<60分、是否存在CT早期缺血改变和心房纤颤方面,差异有统计学意义(P<0.05)。结论:溶栓前ESS评分<60分、存在CT早期缺血改变和心房纤颤是急性脑梗死静脉溶栓治疗后继发脑出血的重要因素。Objective:To explore the risk factors of cerebral hemorrhage after intravenous thrombolysis in acute cerebral infarction.Methods:170 patients with acute cerebral infarction were selected.The clinical data were retrospectively analyzed.Results:After intravenous thrombolysis,in 170 patients,34 cases(20.0% ) had secondary intracerebral hemorrhage.In patients with secondary cerebral hemorrhage and patients without secondary cerebral hemorrhage,gender,age,platelet count,blood glucose,mean arterial blood pressure,with or without hypertension and hyperlipidemia were not statistically significant(P>0.05).ESS score less than 60before thrombolysis,with or without CT early ischemia and atrial fibrillation were significantly different(P<0.05).Conclusion:ESS score less than 60 before thrombolysis,CT early ischemia and atrial fibrillation were important factors of cerebral hemorrhage after intravenous thrombolysis in acute cerebral infarction.

关 键 词：急性脑梗死 静脉溶栓 继发脑出血 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]